Maxillofacial prosthesis’s effect on oral hygiene and oral health related quality of life of patients in a population of Pakistan

https://doi.org/10.53730/ijhs.v7nS1.14154

Authors

  • Hira Riaz BDS, FCPS, PGD, Assistant Professor, Department of Prosthodontics, Islamic International Dental Hospital, RIPHAH International University, Islamabad, Pakistan
  • Hira Ilyas BDS, MDS, Demonstrator, Department of Prosthodontics, University College of Medicine and Dentistry, University of Lahore, Lahore, Pakistan
  • Ali Asmar Meer BDS, Fauji Foundation College of Dentistry (FUCD), Rawalpindi, Pakistan
  • Muhammad Gulzar BDS, FCPS (Oral & Maxillofacial Surgery), Assistant Professor, Department of Oral & Maxillofacial Surgery, Bakhtawar Amin Medical & Dental College, Multan, Pakistan
  • Izah Tahir BDS, FCPS Trainee (Prosthodontics), Demonstrator/PG Trainee, Department of Prosthodontics, University College of Medicine and Dentistry, University of Lahore, Lahore, Pakistan
  • Asrar Ahmed B.Sc, BDS, M.Phil (Oral Biology), Associate Professor, Head of Oral Biology Department, CIMS Dental College, Multan, Pakistan

Keywords:

maxillofacial prosthesis, oral health related quality of life, oral hygiene instructions

Abstract

Background and Aim: Dental malformations caused by surgical excision of oral cancerous tissues cause physical, functional and aesthetic problems. Congenital disorders or acquired factors are regarded as the major causes for maxillofacial defects. The purpose of the current investigation was to determine the effect of maxillofacial prosthesis on oral hygiene and oral health related life quality of life of patients in a population of Pakistan.  Materials and Methods: This prospective study was conducted on 28 maxillofacial defects’ bearing patients investigated in the Department of Dentistry at a Tertiary Care Hospital in Lahore, Pakistan from January 2021 to December 2022. Hearing as well as visually impaired and edentulous patients were excluded from the study. Oral Health Impact Profile (OHIP) was used for the assessment of Oral Health related Quality of Life (OHR QoL). The OHR-QoL was assessed by a self-administered questionnaire. “Functional limitation (9 items)”, “Physical pain (9 items)”, “Psychological discomfort (5 items)”, “Physical disability (9 items)”, “Psychological disability (6 items)”, “Social disability (5 items)”, and “Handicap (6 items)” were 7 subscales of OHR-QoL recorded in each questionnaire and a greater OHR-QoL impairment was an indicative of a higher overall OHIP score. 

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References

Koga. S, Y. Ogino and N. Fujikawa et al., Oral health-related quality of life and oral hygiene condition in patients with maxillofacial defects: A retrospective analysis, Journal of Prosthodontic Research, https://doi.org/10.1016/j.jpor.2019.11.003.

Kansy K, Hoffmann J, Alhalabi O, Mistele N, Freier K, Mertens C, et al. Subjective and objective appearance of head and neck cancer patients following microsurgical reconstruction and associated quality of life-A cross-sectional study. J Craniomaxillofac Surg 2018;46:1275–84. doi:10.1016/j.jcms.2018.05.024.

Bortoluzzi MC, de Camargo Smolarek P, Claudino M, Campagnoli EB, Manfro R. Impact of dentofacial deformity on quality of life: age and gender differences evaluated through OQLQ, OHIP and SF36. J Oral Maxillofac Res 2015;6:e3.doi:10.5037/jomr.2015.6303.

Á Jenei, J Sándor, Hegedus C, ˝ Bágyi K, Nagy L, Kiss C, Szabó G, Márton IJ. Oral health-related quality of life after prosthetic rehabilitation: a longitudinal study with the OHIP questionnaire. Health Qual Life Outcomes 2015;13:99. doi:10.1186/s12955-015-0289-2.

Breeze J, Rennie A, Morrison A, Dawson D, Tipper J, Rehman K, et al. Healthrelated quality of life after maxillectomy: obturator rehabilitation compared with flap reconstruction. Br J Oral Maxillofac Surg 2016;54:857–62. doi:10.1016/j.bjoms.2016.05.024.

Saito H, Watanabe Y, Sato K, Ikawa H, Yoshida Y, Katakura A, et al. Effects of professional oral health care on reducing the risk of chemotherapy induced oral mucositis. Support Care Cancer 2014;22:2935–40. doi:10.1007/s00520-014-2282-4.

Alvarez PB, Perez-Sayáns M, Alves MGO, Torreira MG, Iruegas MEP, Carrión AB, et al. Dental management prior to radiation therapy in patients with head and neck cancer. Indian J Cancer 2018;55:251–6. doi:10.4103/ijc.IJC_20_18.

Cao Y, Yu C, Liu W, Miao C, Han B, Yang J, et al. Obturators versus flaps after maxillary oncological ablation: a systematic review and best evidence synthesis. Oral Oncol 2018;82:152–61. doi:10.1016/j.oraloncology.2018.05.019.

Chen C, Ren WH, Huang RZ, Gao L, Hu ZP, Zhang LM, et al. Quality of life in patients after maxillectomy and placement of prosthetic obturator. Int J Prosthodont 2016;29:363–8. doi:10.11607/ijp.4608.

Yamazaki M, Inukai M, Baba K, John MT. Japanese version of the oral health impact profile (OHIP-J). J Oral Rehabil 2007;34:159–68.

Said MM, Otomaru T, Yeerken Y, Taniguchi H. Masticatory function and oral health-related quality of life in patients after partial maxillectomies with closed or open defects. J Prosthet Dent 2017;118:108–12. doi:10.1016/j.prosdent.2016.11.003.

Hagio M, Ishizaki K, Ryu M, Nomura T, Takano N, Sakurai K. Maxillofacial prosthetic treatment factors affecting oral health-related quality of life after surgery for patients with oral cancer. J Prosthet Dent 2018;119:663–70. doi:10.1016/j.prosdent.2017.05.017.

Nuñez-Aguilar J, Fernández-Olavarría A, Oliveros-López LG, Torres-Lagares D, Serrera-Figallo MA, Gutiérrez-Corrales A, et al. Evolution of oral health in oral cancer patients with and without dental treatment in place: before, during and after cancer treatment. J Clin Exp Dent 2018;10:e158–65. doi:10.4317/jced.54608.

Barrios-Rodríguez R, Gil-Montoya JA, Montero J, Rosel EM, Bravo M. Associated factors with health-compromising behaviors among patients treated for oral cancer. Med Oral Patol Oral Cir Bucal 2019;24:e20–5. doi:10.4317/medoral.22655.

Aoki T, Kudo M, Endo M, Nakayama Y, Amano A, Naito M, et al. Inter-rater reliability of the oral assessment guide for oral cancer patients between nurses and dental hygienists: the difficulties in objectively assessing oral health. Support Care Cancer 2019;27:1673–7. doi:10.1007/s00520-018-4412-x.

Artopoulou II, Karademas EC, Papadogeorgakis N, Papathanasiou I, Polyzois G. Effects of sociodemographic, treatment variables, and medical characteristics on quality of life of patients with maxillectomy restored with obturator prostheses. J Prosthet Dent 2017;118:783-789.e4.

Bauermeister AJ, Zuriarrain A, Newman MI. Three-dimensional printing in plastic and reconstructive surgery: A systematic review. Ann Plast Surg 2016;77:569-76.

Cappare P, Sannino G, Minoli M, Montemezzi P, Ferrini F. Conventional versus digital impressions for full arch screw-retained maxillary rehabilitations: A randomized clinical trial. Int J Environ Res Public Health 2019;16:544-603.

Gherlone EF, Ferrini F, Crespi R, Gastaldi G, Capparé P. Digital impressions for fabrication of definitive “all-on-four” restorations. Implant Dent 2015;24:125-9.

Cattoni F, Teté G, Calloni AM, Manazza F, Gastaldi G, Capparè P. Milled versus moulded mock-ups based on the superimposition of 3D meshes from digital oral impressions: A comparative in vitro study in the aesthetic area. BMC Oral Health 2019;19:230.

Ferrini F, Sannino G, Chiola C, Capparé P, Gastaldi G, Gherlone EF. Influence of Intra-Oral Scanner (I.O.S.) on The Marginal Accuracy of CAD/CAM Single Crowns. Int J Environ Res Public Health 2019;16:829.

Gastaldi G, Palumbo L, Moreschi C, Gherlone EF, Capparé P. Prosthetic management of patients with oro-maxillo-facial defects: A long-term follow-up retrospective study. Oral Implantol (Rome) 2017;10:276-82.

Gherlone EF, Capparé P, Tecco S, Polizzi E, Pantaleo G, Gastaldi G, et al. Implant prosthetic rehabilitation in controlled HIV-positive patients: A prospective longitudinal study with 1-year follow-up. Clin Implant Dent Relat Res 2016;18:725-34.

Gastaldi G, Palumbo L, Moreschi C, et al. Prosthetic management of patients with oro-maxillo-facial defects: a long-term follow-up retrospective study. Oral Implantol (Rome) 2017;10(3): 276–282.

Mayank S, Akshay B, Narendra K, et al. Obturator prosthesis for hemimaxillectomy patients. Natl J Maxillofac Surg 2013;4(1): 117–120.

Anil Kumar S, Nandkishore S, Sandhu HS, et al. Rehabilitation of a maxillectomy case with telescopic crowns: a case report. J Ind Prosthodont Soc 2013; 13(3): 236–239.

Mehmet D and Ahmed SD. The effect of immediate obturator reconstruction after radical maxillary resections on speech and other functions. Dent J 2018; 6: 22.

Joseph AG, Janakiram C, and Mathew A. Prosthetic status, needs and oral health related quality of life (OHRQOL) in the elderly population of Aluva. Ind J Clin Diagn Res 2016;10(11): ZC05–ZC09.

Khan MWU, Shah AA, Fatima A, et al. Subjective assessment of obturator functioning in patients with hemimaxillectomy. Pak J Medi Health Sci 2014; 8(3): 694–697.

Klotz AL , Hassel AJ, Schroder J, et al. Oral health-related quality of life and prosthetic status of nursing home residents with or without dementia. Clin Interv Aging 2017; 12:659–665.

Yildirim B, Koca C. Esthetic outcome and oral health-related quality of life after restoration with single anterior maxillary implants. Balkan Journal of Dental Medicine. 2021;25(2):80-6.

ELsyad MA, Elgamal M, Mohammed Askar O, Youssef Al‐Tonbary G. Patient satisfaction and oral health‐related quality of life (OHRQoL) of conventional denture, fixed prosthesis and milled bar overdenture for All‐on‐4 implant rehabilitation. A crossover study. Clinical oral implants research. 2019 Nov;30(11):1107-17.

Published

13-04-2023

How to Cite

Riaz, H., Ilyas, H., Meer, A. A., Gulzar, M., Tahir, I., & Ahmed, A. (2023). Maxillofacial prosthesis’s effect on oral hygiene and oral health related quality of life of patients in a population of Pakistan. International Journal of Health Sciences, 7(S1), 77–84. https://doi.org/10.53730/ijhs.v7nS1.14154

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Peer Review Articles

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