The influence of management of tooth wear on oral health-related quality of life.

Autor: Sterenborg BAMM; Radboud Institute for Health Sciences, Department of Preventive and Restorative Dentistry, Radboud University Medical Center, P.O. Box 9101, NL, 6500 HB, Nijmegen, The Netherlands. Bernadette.Sterenborg@radboudumc.nl., Bronkhorst EM; Radboud Institute for Health Sciences, Department of Preventive and Restorative Dentistry, Radboud University Medical Center, P.O. Box 9101, NL, 6500 HB, Nijmegen, The Netherlands., Wetselaar P; Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands., Lobbezoo F; Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands., Loomans BAC; Radboud Institute for Health Sciences, Department of Preventive and Restorative Dentistry, Radboud University Medical Center, P.O. Box 9101, NL, 6500 HB, Nijmegen, The Netherlands., Huysmans MDNJM; Radboud Institute for Health Sciences, Department of Preventive and Restorative Dentistry, Radboud University Medical Center, P.O. Box 9101, NL, 6500 HB, Nijmegen, The Netherlands.
Jazyk: angličtina
Zdroj: Clinical oral investigations [Clin Oral Investig] 2018 Sep; Vol. 22 (7), pp. 2567-2573. Date of Electronic Publication: 2018 Feb 03.
DOI: 10.1007/s00784-018-2355-8
Abstrakt: Objective: The purpose of this study was to identify the level of oral health-related quality of life and orofacial appearance in patients with moderate to severe tooth wear. Patients with and without a request for restorative treatment were included.
Methods: One hundred twenty-four patients (98 men, 26 women, mean age: 40.5 ± 8.8 years) with moderate to severe tooth wear were included. Patients without a request for help received a non-restorative treatment of counseling and monitoring. Patients with a request for restorative treatment were treated with a full rehabilitation using composite resin restorations. Oral Health Impact Profile (OHIP-NL) and Orofacial Esthetic Scale (OES-NL) questionnaires were filled in at baseline and after 1 year.
Results: Counseling and monitoring group: baseline OHIP-NL score was 0.4 ± 0.3, baseline summary score of OES-NL was 48 ± 7.0, and baseline impression score was 7.1 ± 1.2. Scores had not changed significantly after 1 year (p = 1.00 after Bonferroni correction).Restoration group: baseline OHIP-NL score was 0.8 ± 0.6, baseline summary score of OES-NL was 38 ± 10, and baseline impression score was 5.9 ± 1.5. Scores had improved significantly after 1 year (p < 0.001 after Bonferroni correction).
Conclusions: Counseling and monitoring did not result in a significant deterioration and restorative treatment resulted in a significant improvement of oral health-related quality of life (OHRQoL) and orofacial appearance in this patient group.
Clinical Significance: In patients with moderate to severe tooth wear, without functional and esthetical problems, counseling and monitoring may be an appropriate treatment option. Restorative treatment in patients with a need for treatment results in an improved OHRQoL. OHIP and OES questionnaires may be used to monitor changes in clinically relevant symptoms.
Databáze: MEDLINE
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