IADR Abstract Archives
Oral health related quality-of-life in elderly patients requiring endodontic treatment
Objectives: Population ageing is a global trend, with more people retaining their teeth into old age. This study aimed to assess the impact of endodontic disease on oral health related quality-of-life (OHRQOL) in an elderly population requiring non-surgical root canal treatment (NSRCT). Appropriateness of the Oral Health Impact Profile (OHIP-17) and General Oral Health Assessment Index (GOHAI) as OHRQOL assessment tools for this population was also assessed.
Methods: Patients aged ≥65 years requiring NSRCT were recruited. OHRQOL assessments were conducted using OHIP-17, GOHAI and an oral health perception questionnaire. Potential influencing factors for OHRQOL scores were investigated. Internal consistency, concurrent validity, and discriminant validity of both tools were evaluated.
Results: One hundred and twenty-two patients were recruited. The mean total OHIP-17 and GOHAI scores were 16.35 ± 11.81 (max possible=68) and 16.85 ± 7.04 (max possible=48) respectively. The percentage of patients reporting no impact was lower with GOHAI (0.8%) than OHIP-17 (9.8%). Multivariate analyses showed that higher OHRQOL scores were significantly associated with higher levels of education, full/part-time employment and more teeth requiring NSRCT. Internal consistency was high for both tools. Concurrent validity assessment demonstrated significant association of satisfaction with oral health for GOHAI, and perceived importance of keeping one’s own teeth and perceived oral health for both OHIP-17 and GOHAI. Neither tool significantly correlated patient-reported impact with clinicians’ assessment of oral health.
Conclusions: OHRQOL is reduced amongst elderly patients requiring NSRCT and is negatively associated with higher education level, being employed, and more teeth requiring NSRCT. GOHAI appears more successful than OHIP-17 in detecting the impact of endodontic disease on OHRQOL.
Methods: Patients aged ≥65 years requiring NSRCT were recruited. OHRQOL assessments were conducted using OHIP-17, GOHAI and an oral health perception questionnaire. Potential influencing factors for OHRQOL scores were investigated. Internal consistency, concurrent validity, and discriminant validity of both tools were evaluated.
Results: One hundred and twenty-two patients were recruited. The mean total OHIP-17 and GOHAI scores were 16.35 ± 11.81 (max possible=68) and 16.85 ± 7.04 (max possible=48) respectively. The percentage of patients reporting no impact was lower with GOHAI (0.8%) than OHIP-17 (9.8%). Multivariate analyses showed that higher OHRQOL scores were significantly associated with higher levels of education, full/part-time employment and more teeth requiring NSRCT. Internal consistency was high for both tools. Concurrent validity assessment demonstrated significant association of satisfaction with oral health for GOHAI, and perceived importance of keeping one’s own teeth and perceived oral health for both OHIP-17 and GOHAI. Neither tool significantly correlated patient-reported impact with clinicians’ assessment of oral health.
Conclusions: OHRQOL is reduced amongst elderly patients requiring NSRCT and is negatively associated with higher education level, being employed, and more teeth requiring NSRCT. GOHAI appears more successful than OHIP-17 in detecting the impact of endodontic disease on OHRQOL.