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Oral health-related quality of life after dental treatment in patients with intellectual disability

BACKGROUND: The influence of dental treatment on oral health-related quality of life (OHRQOL) has rarely been evaluated in patients with intellectual disability (ID) through validated questionnaires. The aim of this study was to estimate the changes on OHRQOL in patients with ID after the implementa...

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Autores principales: Rollon-Ugalde, Virginia, Coello-Suanzes, Jose Antonio, Lopez-Jimenez, Ana Maria, Herce-Lopez, Javier, Toledano-Valero, Pilar, Montero-Martin, Javier, Infante-Cossio, Pedro, Rollon-Mayordomo, Angel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473439/
https://www.ncbi.nlm.nih.gov/pubmed/32683382
http://dx.doi.org/10.4317/medoral.23549
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author Rollon-Ugalde, Virginia
Coello-Suanzes, Jose Antonio
Lopez-Jimenez, Ana Maria
Herce-Lopez, Javier
Toledano-Valero, Pilar
Montero-Martin, Javier
Infante-Cossio, Pedro
Rollon-Mayordomo, Angel
author_facet Rollon-Ugalde, Virginia
Coello-Suanzes, Jose Antonio
Lopez-Jimenez, Ana Maria
Herce-Lopez, Javier
Toledano-Valero, Pilar
Montero-Martin, Javier
Infante-Cossio, Pedro
Rollon-Mayordomo, Angel
author_sort Rollon-Ugalde, Virginia
collection PubMed
description BACKGROUND: The influence of dental treatment on oral health-related quality of life (OHRQOL) has rarely been evaluated in patients with intellectual disability (ID) through validated questionnaires. The aim of this study was to estimate the changes on OHRQOL in patients with ID after the implementation of an institutional dental treatment program under general anesthesia using the Franciscan Hospital for Children Oral Health-Related Quality of Life questionnaire (FHCOHRQOL-Q). MATERIAL AND METHODS: A prospective longitudinal study was conducted on 85 patients (mean age=24.85 years) classified according to DSM-V whose parents/caregivers completed the FHC-OHRQOL-Q. We analyzed the changes in the questionnaire’s overall score and its dimensions from pre-treatment to 12-months of follow-up, considering effect sizes and minimal important differences estimated by the standard measurement error. The impact of clinical and therapeutic factors was evaluated using univariate and multiple linear regression analysis (p<0.05). RESULTS: Significant improvement of OHRQOL was found after dental treatment in oral symptoms (p0.001), daily life problems (p=0.018), parent’s perceptions (p=0.013) and FHCOHRQOL-Q´s overall score (p=0.001). OHRQOL changes exhibited an intermediate magnitude (0.38-0.21) as estimated by effect sizes. Changes in oral symptoms showed positive correlation with DMFT index (r=0.375, p=0.002), decayed teeth (r=0.244, p=0.036), dental extractions (r=0.424, p<0.001) and number of treatments (r=0.255, p=0.019). The improvement was greater in patients with 4 decayed teeth (p=0.049) and undergoing 2 dental extractions (p=0.002). Multiple regression analysis demonstrated that dental extractions (p<0.001) and DMFT index (p=0.028) were significantly related to oral symptom improvement. CONCLUSIONS: Dental treatment under general anesthesia showed a positive effect on the overall FHC-OHRQOL-Q score and most of its dimensions. At 12-months of follow-up, the improvement of oral symptoms was significantly associated with DMFT index, decayed teeth, dental extractions and number of treatments. In our clinical setting, the implementation of a dental treatment program enhanced the OHRQOL of patients with ID. Key words:Oral health-related quality of life, intellectual disability, general anesthesia, special needs, dental treatment, Franciscan Hospital for Children Oral Health-Related Quality of Life questionnaire.
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spelling pubmed-74734392020-09-09 Oral health-related quality of life after dental treatment in patients with intellectual disability Rollon-Ugalde, Virginia Coello-Suanzes, Jose Antonio Lopez-Jimenez, Ana Maria Herce-Lopez, Javier Toledano-Valero, Pilar Montero-Martin, Javier Infante-Cossio, Pedro Rollon-Mayordomo, Angel Med Oral Patol Oral Cir Bucal Research BACKGROUND: The influence of dental treatment on oral health-related quality of life (OHRQOL) has rarely been evaluated in patients with intellectual disability (ID) through validated questionnaires. The aim of this study was to estimate the changes on OHRQOL in patients with ID after the implementation of an institutional dental treatment program under general anesthesia using the Franciscan Hospital for Children Oral Health-Related Quality of Life questionnaire (FHCOHRQOL-Q). MATERIAL AND METHODS: A prospective longitudinal study was conducted on 85 patients (mean age=24.85 years) classified according to DSM-V whose parents/caregivers completed the FHC-OHRQOL-Q. We analyzed the changes in the questionnaire’s overall score and its dimensions from pre-treatment to 12-months of follow-up, considering effect sizes and minimal important differences estimated by the standard measurement error. The impact of clinical and therapeutic factors was evaluated using univariate and multiple linear regression analysis (p<0.05). RESULTS: Significant improvement of OHRQOL was found after dental treatment in oral symptoms (p0.001), daily life problems (p=0.018), parent’s perceptions (p=0.013) and FHCOHRQOL-Q´s overall score (p=0.001). OHRQOL changes exhibited an intermediate magnitude (0.38-0.21) as estimated by effect sizes. Changes in oral symptoms showed positive correlation with DMFT index (r=0.375, p=0.002), decayed teeth (r=0.244, p=0.036), dental extractions (r=0.424, p<0.001) and number of treatments (r=0.255, p=0.019). The improvement was greater in patients with 4 decayed teeth (p=0.049) and undergoing 2 dental extractions (p=0.002). Multiple regression analysis demonstrated that dental extractions (p<0.001) and DMFT index (p=0.028) were significantly related to oral symptom improvement. CONCLUSIONS: Dental treatment under general anesthesia showed a positive effect on the overall FHC-OHRQOL-Q score and most of its dimensions. At 12-months of follow-up, the improvement of oral symptoms was significantly associated with DMFT index, decayed teeth, dental extractions and number of treatments. In our clinical setting, the implementation of a dental treatment program enhanced the OHRQOL of patients with ID. Key words:Oral health-related quality of life, intellectual disability, general anesthesia, special needs, dental treatment, Franciscan Hospital for Children Oral Health-Related Quality of Life questionnaire. Medicina Oral S.L. 2020-09 2020-07-19 /pmc/articles/PMC7473439/ /pubmed/32683382 http://dx.doi.org/10.4317/medoral.23549 Text en Copyright: © 2020 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Rollon-Ugalde, Virginia
Coello-Suanzes, Jose Antonio
Lopez-Jimenez, Ana Maria
Herce-Lopez, Javier
Toledano-Valero, Pilar
Montero-Martin, Javier
Infante-Cossio, Pedro
Rollon-Mayordomo, Angel
Oral health-related quality of life after dental treatment in patients with intellectual disability
title Oral health-related quality of life after dental treatment in patients with intellectual disability
title_full Oral health-related quality of life after dental treatment in patients with intellectual disability
title_fullStr Oral health-related quality of life after dental treatment in patients with intellectual disability
title_full_unstemmed Oral health-related quality of life after dental treatment in patients with intellectual disability
title_short Oral health-related quality of life after dental treatment in patients with intellectual disability
title_sort oral health-related quality of life after dental treatment in patients with intellectual disability
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473439/
https://www.ncbi.nlm.nih.gov/pubmed/32683382
http://dx.doi.org/10.4317/medoral.23549
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