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- Title
Changes in the oral health-related quality of life in adult patients with intellectual disabilities after dental treatment under general anesthesia.
- Authors
Hillebrecht, Anna-Lena; Hrasky, Valentina; Anten, Christoph; Wiegand, Annette
- Abstract
Objectives: This study aimed to assess self- and proxy-rated changes in the oral health-related quality of life (OHRQoL) in adult patients with intellectual disabilities after dental treatment in general anesthesia. Methods: The OHRQoL in 52 adult patients with intellectual and developmental disabilities was assessed prior to dental treatment in general anesthesia (t0), 2 to 3 (t1) and 12 weeks (t2) postoperatively. Therefore, patients and primary cargivers were surveyed using either the 5-item short form of the Oral Health Impact Profile translated into easy language (OHIP-G5-easy, self-rating, n = 27) or the 14-item short form of the Oral Health Impact Profile (OHIP-G14, proxy-rating, n = 51), respectively. OHIP-G5-easy and OHIP-G14 summary scores were statistically analyzed with non-parametric mixed effects models and spearman correlation (p < 0.05). Additionally, the effect of demographic, anamnestic, oral health and treatment factors on QHRQoL or on changes of OHRQoL were analyzed using univariate and multivariate ordinal logistic regressions (p < 0.05). Results: Self- (t0: 5.8 ± 4.6, t1: 4.3 ± 5.9, t2: 2.0 ± 3.9) and proxy-ratings (t0: 18.8 ± 11.6, t1: 10.1 ± 11.2, t2: 2.7 ± 5.3) revealed a significant improvement of OHRQoL after dental treatment in general anesthesia. Data showed a moderate correlation (p < 0.001, rSp = 0.43). OHRQoL at baseline was affected by the etiology of cognitive impairment and by the periodontal status (OHIP-G14). Improvement of OHRQoL was associated with the etiology of cognitive impairment (OHIP-G14) and the extent of dental treatment (OHIP-G5-easy). Conclusion: Self- and proxy-ratings revealed a significant improvement of OHRQoL in patients with intellectual disabilities after dental treatment in general anesthesia. Clinical relevance: Assessment of OHRQoL promotes patient-centred care of adults with intellectual disabilities.
- Subjects
QUALITY of life; INTELLECTUAL disabilities; GENERAL anesthesia; DEVELOPMENTAL disabilities; RANK correlation (Statistics)
- Publication
Clinical Oral Investigations, 2019, Vol 23, Issue 10, p3895
- ISSN
1432-6981
- Publication type
Article
- DOI
10.1007/s00784-019-02820-4