Analysis of quality of life and dental health criteria components within the structure of complex expert assessment of the prosthetic treatment among patients with maxillofacial trauma in anamnesis

  • P. P. Brekhlichuk Uzhhorod National University, Uzhhorod, Ukraine
Keywords: trauma, maxillofacial region, treatment, quality of life.

Abstract

Lesions of the dento-alvelolar system, which develop in cases of traffic accidents, domestic, industrial or other traumatic injuries, leads to a sharp decrease in dental health, and consequently to the decrease in quality of life associated with post-traumatic changes in dental status. Purpose of work – to analyze the indicators of the integrated quality of life criterion associated with the state of dental health among dental prosthetically-rehabilitated patients with a history of maxillofacial (MF) traumatic injuries. The study sample was formed on the basis of the University Dental Clinic from a cohort of patients who sought dental care with the need for comprehensive prosthetic rehabilitation. According to the analysis of medical records of dental patients, 66 persons with a history of maxillofacial traumatic injuries were selected. In order to assess the integrated criterion of quality of life associated with dental health, among dental patients with a history of maxillofacial traumatic injuries, who received appropriate prosthetic treatment, surveys were conducted taking into account all domains of OHIP-14 (abbreviated to 14 questions version of the Oral Health Impact Profile questionnaire). Mandibular fractures and traumatic injuries of individual teeth (dislocations, fractures) were the most prevalent among study sample and corresponded to 31.8 % and 27.3 %, respectively. The main causes of maxillofacial traumatic injuries were domestic injuries (43.9 %), road traffic accidents (RTA) (37.9 %), criminal injuries (10.6 %), industrial-associated (4.5 %) and sports-associated injuries (3.0 %). Prosthetic rehabilitation of the vast majority of patients, which correspond to 56 persons (84.8 %), was performed using different types of fixed prosthetic constructions, such as crowns, bridges supported by natural teeth, or installed dental implants. Majority of patients 84.9-95.5 % demonstrated high indicators of the integrated criterion of quality of life associated with changes in dental health, despite the fact of previous surgical treatment of maxillofacial traumatic lesions. Thus, in the absence of secondary deformities after surgical treatment of maxillofacial traumatic lesions, prosthetic rehabilitation of patients with the use of fixed types of prosthetic constructions supported by natural teeth or installed dental implants helps to achieve high quality of life associated with changes in dental health. The use of complete or partial removable dentures for a similar purpose provokes a relative decrease within the integral criterion of quality of life in the structure of such domains, as physical pain, psychological discomfort and social incapacity, which is due to the peculiarities of removable prosthetic construction exploitation, retention and functioning.

References

[1] Ali, Z., Baker, S. R., Shahrbaf, S., Martin, N., & Vettore, M. V. (2019). Oral health-related quality of life after prosthodontic treatment for patients with partial edentulism: A systematic review and meta-analysis. The Journal of prosthetic dentistry, 121(1), 59-68. doi: 10.1016/j.prosdent.2018.03.003
[2] Alzarea, B. K. (2016). Assessment and evaluation of quality of life (OHRQOL) of patients with dental implants using the oral health impact profile (OHIP-14)-A clinical study. Journal of clinical and diagnostic research: JCDR, 10(4), ZC57. doi: 10.7860/JCDR/2016/18575.7622
[3] Andiappan, M., Gao, W., Bernabé, E., Kandala, N. B., & Donaldson, A. N. (2015). Malocclusion, orthodontic treatment, and the Oral Health Impact Profile (OHIP-14): Systematic review and meta-analysis. The Angle Orthodontist, 85(3), 493-500. doi: 10.2319/051414-348.1
[4] Azami-Aghdash, S., Sadeghi-Bazarghani, H., Heydari, M., Rezapour, R., & Derakhshani, N. (2018). Effectiveness of interventions for prevention of road traffic injuries in Iran and some methodological issues: a systematic review. Bulletin of Emergency & Trauma, 6(2), 90. doi: 10.29252/beat-060202
[5] Bedaso, A., Kediro, G., Ebrahim, J., Tadesse, F., Mekonnen, S., Gobena, N., & Gebrehana, E. (2020). Prevalence and determinants of post-traumatic stress disorder among road traffic accident survivors: a prospective survey at selected hospitals in southern Ethiopia. BMC emergency medicine, 20(1), 1-10. doi: 10.1186/s12873-020-00348-5
[6] Bennadi, D., & Reddy, C. V. K. (2013). Oral health related quality of life. Journal of International Society of Preventive & Community Dentistry, 3(1), 1. doi: 10.4103/2231-0762.115700
[7] Boljevic, T., Vukcevic, B., Pajic, S., & Pesic, Z. (2019). Oral health–related quality of life of patients undergoing different treatment of facial fractures: The OHIP-14 questionnaire. Nigerian journal of clinical practice, 22(9), 1213. doi: 10.4103/njcp.njcp_124_19
[8] Braimah, R. O., Ukpong, D. I., Ndukwe, K. C., & Akinyoola, L. (2019). Self-esteem following maxillofacial and orthopedic injuries: preliminary observations in sub-Saharan Africans. Oral and maxillofacial surgery, 23(1), 71-76. doi: 10.1007/s10006-018-0735-5
[9] Comim, L. D., Dalla Nora, Â., Knorst, J. K., Racki, D. N. D. O., Zenkner, J. E. D. A., & Alves, L. S. (2020). Traumatic dental injury and oral health–related quality of life among 15 to 19 year old adolescents from Santa Maria, Brazil. Dental Traumatology. doi: 10.1111/edt.12594
[10] Hagio, M., Ishizaki, K., Ryu, M., Nomura, T., Takano, N., & Sakurai, K. (2018). Maxillofacial prosthetic treatment factors affecting oral health-related quality of life after surgery for patients with oral cancer. The Journal of prosthetic dentistry, 119(4), 663-670. doi: 10.1016/j.prosdent.2017.05.017
[11] John, M. T., Reissmann, D. R., Čelebić, A., Baba, K., Kende, D., Larsson, P., & Rener-Sitar, K. (2016). Integration of oral health-related quality of life instruments. Journal of dentistry, 53, 38-43. doi: 10.1016/j.jdent.2016.06.006
[12] Lewandowski, B., Szeliga, E., Czenczek-Lewandowska, E., Ozga, D., Kontek, A., Migut, M., ... & Kużdżał, A. (2018). Comparison of oral-health-related quality of life in patients in the short-and long-term period following lower-facial injury and fractures–preliminary report. Dental and medical problems, 55(1), 57-62. doi: 10.17219/dmp/85255
[13] Naito, M., Yuasa, H., Nomura, Y., Nakayama, T., Hamajima, N., & Hanada, N. (2006). Oral health status and health-related quality of life: a systematic review. Journal of oral science, 48(1), 1-7. doi: 10.2334/josnusd.48.1
[14] Reissmann, D. R., Dard, M., Lamprecht, R., Struppek, J., & Heydecke, G. (2017). Oral health-related quality of life in subjects with implant-supported prostheses: A systematic review. Journal of dentistry, 65, 22-40. doi: 10.1016/j.jdent.2017.08.003
[15] Sikora, M., Chlubek, M., Grochans, E., Jurczak, A., Safranow, K., & Chlubek, D. (2020). Analysis of factors affecting quality of life in patients treated for maxillofacial fractures. International journal of environmental research and public health, 17(1), 4. doi: 10.3390/ijerph17010004
[16] Tan, H., Peres, K. G., & Peres, M. A. (2016). Retention of teeth and oral health–related quality of life. Journal of dental research, 95(12), 1350-1357. doi: 10.1177/0022034516657992
[17] Wide, U., & Hakeberg, M. (2018). Oral health-related quality of life, measured using the five-item version of the Oral Health Impact Profile, in relation to socio‐economic status: a population survey in Sweden. European journal of oral sciences, 126(1), 41-45. doi: 10.1111/eos.12393
[18] Yamamoto, S., & Shiga, H. (2018). Masticatory performance and oral health-related quality of life before and after complete denture treatment. Journal of prosthodontic research, 62(3), 370-374. doi: 10.1016/j.jpor.2018.01.006
Published
2020-10-29
How to Cite
Brekhlichuk, P. P. (2020). Analysis of quality of life and dental health criteria components within the structure of complex expert assessment of the prosthetic treatment among patients with maxillofacial trauma in anamnesis. Biomedical and Biosocial Anthropology, (39), 17-22. https://doi.org/10.31393/bba39-2020-03