Factors associated with Early Edentulism in Jordan and its impact on Oral Health-Related Quality of Life: a cross-sectional study
Objectives: Reports examining the factors, etiologies, and the impact of oral health on the quality of life of Early Edentulous Patients in Jordan are lacking. This study aims to explore the perceived etiology, social determinants of health factors associated with complete edentulism and their influence on their oral health-related quality of life (OHRQoL) of patients aged 25-54. Methods: A cross-sectional survey is being conducted among a convenience sample of complete edentulous patients attending public health centers in Amman, Jordan. The survey assess the patients’ perceived etiologies of edentulism, social determinants of health variables from three main domains: Social and Economic Factors, Health Behaviors and Beliefs, and Clinical Care access. The Arabic version of the Oral Health Impact Profile-14 was used to measure their OHRQoL. The Health Behaviors and Beliefs domain utilized a Visual Analogue Scale (VAS) to assess beliefs regarding teeth brushing, extraction preference over other treatments, and expected aesthetic and functional satisfaction with dentures. Results: A total of 60 patients [43 male and 17 female; mean age 46.3 (SD = 7.4) years] participated. Perceived etiologies commonly reported were caries and periodontal disease.Our findings revealed a preference for extraction as a treatment for dental diseases, above other restorative treatments(VAS score = 61). The majority of participants (61%) reported having a family history of complete edentulism. Oral hygiene practices assessment revealed that 70% of participants did not brush their teeth daily, 45% reported having no awareness of poor oral hygiene consequences. In terms of prior dental treatment, 51.6% of participants reported having a fixed/removable prosthesis before experiencing edentulism, and 56.3% of participants had dental insurance.The mean OHRQoL score was 41.3, with a range of 14-70. The factors assessed in the univariable analysis are listed in the table below.The factors which revealed association with OHRQoL scores in the univariable analyses, and remained significant in the multivariable linear regression analysis, were: employment rate (p = 0.002), and duration of edentulism (p = 0.02). Conclusions: The longer the duration of edentulism and unemployed patients seemed to be more vulnerable to the impact of poor oral health on OHRQoL.
2023 Jordanian Section (Amman, Jordan) 2023
Behavioral, Epidemiologic and Health Services Research
Rabah, Hala
( University of Jordan
, Amman
, Jordan
)
Al-fuqaha, Sara
( University of Jordan
, Amman
, Jordan
)
Kanaan, Ghazal
( University of Jordan
, Amman
, Jordan
)
Abu-awwad, Motasum
( University of Jordan
, Amman
, Jordan
)