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Boeskov Øzhayat E, Elmongy A, Tanderup L, Bordorff SL, Thiesen H. A cross-sectional study on oral health-care habits and oral-health-related quality-of-life in marginalized persons in Copenhagen. Acta Odontol Scand 2024; 83:7-12. [PMID: 37975754 DOI: 10.1080/00016357.2023.2282648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 06/29/2023] [Accepted: 11/08/2023] [Indexed: 11/19/2023]
Abstract
OBJECTIVE The aim of this cross-sectional study was to investigate the oral-health-related quality-of-life (OHRQoL) and oral health-care habits in a population of marginalized persons in Copenhagen. MATERIALS AND METHODS Patients attending a dental clinic for marginalized persons filled in the 14-item version of the oral-health-impact profile (OHIP-14) regarding their OHRQoLand a questionnaire on their oral health-care habits. Age, gender, smoking habits, need for general and oral health-care, and living conditions were further registered. RESULTS Of the 212 participants, 72% had not visited a dental clinic within the past two years and in 68% of the cases, the last dental visit was related to dental treatment. Tooth brushing at least once a day was reported by 93%. The mean OHIP-14 score in the participants was 24.9 (SD: 13.6). The most frequent problems were pain, chewing difficulties, being self-conscious, tense, and embarrassed as well as affected life. The mean OHIP-14 score was significantly higher in participants in need of general health-care (29.5, SD: 12.2) than in participants not in need of general health-care (22.8, SD: 13.9). The same applied to participants referred for dental treatment (26.1, SD: 12.7) compared to participants not being referred (20.2, SD: 15.9). CONCLUSIONS The OHRQoLis poor in the population with pain, chewing difficulties and aesthetic issues as the most prominent problems. The participants had low and treatment-oriented use of the dental care system. This indicates a high need for dental care in the population with a focus on including them in the dental care system.
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Affiliation(s)
- Esben Boeskov Øzhayat
- Section of Community Dentistry, Department of Odontology, University of Copenhagen, Copenhagen, Denmark.
| | - Ashraf Elmongy
- HealthTeam for the Homeless, Copenhagen, Center for Marginalized Adults and Families, Copenhagen City Social Services, Copenhagen, Denmark
| | - Lene Tanderup
- HealthTeam for the Homeless, Copenhagen, Center for Marginalized Adults and Families, Copenhagen City Social Services, Copenhagen, Denmark
| | - Sine Lykke Bordorff
- HealthTeam for the Homeless, Copenhagen, Center for Marginalized Adults and Families, Copenhagen City Social Services, Copenhagen, Denmark
| | - Henrik Thiesen
- HealthTeam for the Homeless, Copenhagen, Center for Marginalized Adults and Families, Copenhagen City Social Services, Copenhagen, Denmark
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Brahm CO, Borg C, Malm D, Fridlund B, Lewin F, Zemar A, Nilsson P, Papias A, Henricson M. Patients with head and neck cancer treated with radiotherapy: Their experiences after 6 months of prophylactic tooth extractions and temporary removable dentures. Clin Exp Dent Res 2021; 7:894-902. [PMID: 33754493 PMCID: PMC8543473 DOI: 10.1002/cre2.418] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 02/25/2021] [Accepted: 03/02/2021] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVES The impact of dental occlusion on the experiences of head and neck cancer patients and their oral, social and psychological functioning has been sparsely investigated. There is a lack of knowledge regarding the experience of tooth loss and dentures among patients treated for head and neck cancer. The aim of this study was to describe the experiences of head and neck cancer patients of prophylactic tooth extractions and temporary removable dentures, 6 months after radiotherapy treatment. MATERIAL AND METHODS An individual interview with 25 patients 6 months after radiotherapy was subjected to a qualitative content analysis. RESULTS Two categories, Impaired oral function and Belief in the future, and seven subcategories described the patients' experiences of temporary removable dentures during the first 6 months after prophylactic tooth extractions. The temporary removable dentures affected the patients' ability to chew, swallow and speak, caused pain, and were experienced as an enemy. Despite that, the patients were hopeful and had a wish for recovery, which gave them the energy to live. CONCLUSION Prophylactic tooth extractions and temporary removable dentures 6 months after radiotherapy treatment affect head and neck cancer patients' recovery and everyday life. However, they have the will to take on these challenges, pertaining not only to themselves, but also to relatives and health professionals. At the individual level, the patient needs individualized professional support to get through the arduous procedure, from the acute situation until the end of the rehabilitation phase.
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Affiliation(s)
- Carl-Otto Brahm
- Department of Specialist Dental Care, Public Dental Service, Skövde, Sweden.,Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Carina Borg
- Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Jönköping, Sweden
| | - Dan Malm
- Department of Nursing Sciences, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Bengt Fridlund
- Department of Heart Disease, Haukeland University Hospital, Bergen, Norway
| | - Freddi Lewin
- Department of Oncology, Ryhov County Hospital, Jönköping, Sweden
| | - Ahmed Zemar
- Department of Orofacial Medicine, Public Dental Service, Linköping, Sweden
| | - Peter Nilsson
- Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Jönköping, Sweden
| | - Apostolos Papias
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Maria Henricson
- Department of Nursing Sciences, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Al‐Sahan MM, MacEntee MI, Bryant SR. A metatheory explaining how patients manage tooth loss. Gerodontology 2020; 37:258-270. [DOI: 10.1111/ger.12457] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 11/15/2019] [Accepted: 11/28/2019] [Indexed: 12/25/2022]
Affiliation(s)
- Maha M. Al‐Sahan
- Department of Oral Health Sciences Faculty of Dentistry University of British Columbia Vancouver BC Canada
- Department of Prosthetic Dental Sciences College of Dentistry King Saud University Riyadh Saudi Arabia
| | - Michael I. MacEntee
- Department of Oral Health Sciences Faculty of Dentistry University of British Columbia Vancouver BC Canada
| | - S. Ross Bryant
- Department of Oral Health Sciences Faculty of Dentistry University of British Columbia Vancouver BC Canada
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Boeskov Øzhayat E, Korduner E, Collin Bagewitz I, Öwall B. Impairments due to tooth loss and prosthetic expectations in patients from an urban area and a rural area in Sweden. A qualitative study. J Oral Rehabil 2019; 47:212-220. [DOI: 10.1111/joor.12911] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Revised: 10/03/2019] [Accepted: 11/14/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Esben Boeskov Øzhayat
- Section of Oral Rehabilitation Department of Odontology Faculty of Health Science University of Copenhagen Denmark
| | - Eva‐Karin Korduner
- Clinic of Prosthodontics Public Dental Health Service of Skåne Malmö Sweden
| | | | - Bengt Öwall
- Section of Oral Rehabilitation Department of Odontology Faculty of Health Science University of Copenhagen Denmark
- Faculty of Odontology Malmö University Malmö Sweden
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Lima de Paula LML, Sampaio AA, Costa JG, Gomes VE, Ferreira EFE, Ferreira RC. The course from tooth loss to successful rehabilitation with denture: Feelings influenced by socioeconomic status. SAGE Open Med 2019; 7:2050312119874232. [PMID: 31588360 PMCID: PMC6740051 DOI: 10.1177/2050312119874232] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 07/30/2019] [Indexed: 01/02/2023] Open
Abstract
Objective: This study evaluated the perception of users of complete dentures (successful cases) provided by the public health service throughout the course from tooth loss to rehabilitation. Methods: A total of 11 individuals who received their complete dentures through the public health service were interviewed according to a qualitative approach based on three pre-established topics: (1) tooth loss, (2) living without teeth, and (3) living with dentures. The obtained material was submitted to content analysis. Results: Individuals associated the socioeconomic status with lifelong oral health experiences and difficulty to access oral treatment. Tooth loss was the solution to pain and sometimes perceived as a natural event of life. Living without teeth was a negative surprise that resulted in physical and psychological impairments. The period of adaptation to dentures represented suffering and required psychological efforts to be successful. Conclusion: The dentures represented a reward for the suffering and recovered normal function, appearance, and socialization.
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Affiliation(s)
- Lara Melina Leite Lima de Paula
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Aline Araujo Sampaio
- Department of Oral Surgery, Pathology and Clinical Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Josué Gomes Costa
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Viviane Elisângela Gomes
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Efigênia Ferreira E Ferreira
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Raquel Conceição Ferreira
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
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Rosing K, Christensen LB, Øzhayat EB. Associations between tooth loss, prostheses and self-reported oral health, general health, socioeconomic position and satisfaction with life. J Oral Rehabil 2019; 46:1047-1054. [PMID: 31206793 DOI: 10.1111/joor.12836] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Revised: 06/07/2019] [Accepted: 06/09/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To investigate whether the location of tooth loss and prosthesis are associated with self-reported oral health, general health, socioeconomic position and satisfaction with life. METHODS From the Copenhagen Aging and Midlife Biobank (CAMB) investigation, 1517 persons had their oral status ranked (full dentition, fixed prosthesis in the masticatory zone, tooth loss in the masticatory zone, fixed prosthesis in the aesthetic zone, removable prosthesis, tooth loss in the aesthetic zone). Self-reported oral health, general health, socioeconomic position and satisfaction with life were obtained. Information on gender, normative socioeconomic position, frequency of seeing a dentist, acute dental treatment within the last 5 years and general diseases was also recorded. RESULTS Patients with tooth loss in the aesthetic zone and removable prosthesis showed high odds ratios for reporting poor rather than good oral health compared to patients having a full dentition. Having a removable prosthesis was further associated with rating socioeconomic position as low rather than high (odds ratio = 27.7 [95% CI: 5.07; 151.6]) compared to a full dentition after controlling for normative socioeconomic position and gender. In the bivariate analyses, a tendency towards poorer general health and poorer satisfaction with life was found with worse oral status, meanwhile the multiple regression analyses did not show significant associations between oral status and general health and satisfaction with life. CONCLUSIONS Missing teeth and having prostheses are associated with worse self-reported oral health compared to having a full dentition. Removable dental prosthesis may be associated with a worse self-perception of socioeconomic status.
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Affiliation(s)
- Kasper Rosing
- Section of Community Dentistry, Department of Odontology, Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark
| | - Lisa Bøge Christensen
- Section of Community Dentistry, Department of Odontology, Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark
| | - Esben Boeskov Øzhayat
- Section of Oral Rehabilitation, Department of Odontology, Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark
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Missing Teeth and Prosthetic Treatment in Patients Treated at College of Dentistry, University of Dammam. Int J Dent 2017; 2017:7593540. [PMID: 28828005 PMCID: PMC5554563 DOI: 10.1155/2017/7593540] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2017] [Revised: 05/21/2017] [Accepted: 06/20/2017] [Indexed: 01/22/2023] Open
Abstract
The percentage of completely and partially edentulous patients and their prosthetic treatment at the Department of Substitutive Dental Sciences (SDS), College of Dentistry, University of Dammam, were investigated. Panoramic radiographs and medical records of adult patients (n = 479, mean age 45.9 years, and range 25-96 years) treated in 2011-2014 were examined. 6% of the patients were completely edentulous, 8% had single jaw edentulousness, and 74% were partially edentulous. Edentulousness was significantly correlated with age and the number of missing teeth was significantly higher among males (p < 0.026). Diabetes was significantly associated with complete edentulousness, single edentulous jaw (p value 0.015), and partial edentulousness (p value 0.023). Kennedy class III was the most frequent class of partial edentulousness in single and/or both jaws (p = 0.000). Patients having class I and/or class II were treated most often with removable partial dentures (RPD) (p = 0.000), while patients having class III were treated with fixed partial dentures (FPD). It was found that complete edentulousness increases in older age and the number of missing teeth was significantly higher among males. Kennedy class III was most common in both upper and lower jaw and was treated more often with FPD than with RPD.
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