Dental patients' functional, pain‐related, aesthetic, and psychosocial impact of oral conditions on quality of life—Project overview, data collection, quality assessment, and publication bias

Abstract

Background Knowledge about the magnitude of Oral Health‐Related Quality of Life (OHRQoL) impairment across dental patient populations is essential for clinical practice, public health and research. Within the project Mapping Oral Disease Impact with a Common Metric, this systematic review aimed to describe functional, pain‐related, aesthetic and broader psychosocial impact of oral conditions with a single metric using OHRQoL dimensions Oral Function, Oro facial Pain, Oro facial Appearance and Psychosocial Impact. Methods A search using PubMed, EMBASE, Cochrane, CINAHL and PsycINFO was performed on 8 June 2017, and updated on 14 January 2019. Only publications in the English language were considered. To characterise the extent of available standardised and clinically relevant OHRQoL information, we determined the number of publications, dental patient populations, which are clinically similar, and patient samples within each population with four‐dimensional OHRQoL information using the Oral Health Impact Profile (OHIP) questionnaire. A quality assessment and a publication bias assessment were performed. Results We identified 171 publications that characterised 199 dental populations and 329 patient samples with four‐dimensional OHRQoL information. The vast majority of populations were only characterised by one patient sample. Study quality was not related to OHRQoL magnitude, and substantial publication bias could be excluded. Conclusions Standardised and clinically relevant information using the four OHRQoL dimensions Oral Function, Oro facial Pain, Oro facial Appearance and Psychosocial Impact was available for a significant number of dental patient populations. Findings can provide a framework to interpret OHRQoL impairment of individual patients, or groups of patients, for clinical practice, public health and research.

The impact of oro‐facial pain conditions on oral health‐related quality of life: A systematic review

“… Not full‐text publications (abstracts, editorials, etc). No primary data available or data not in original 0‐4 OHIP item response format 29 Duplicate articles. …”

“…The assignment of an article was changed to one of the other dimensions (Oral Function, Orofacial Appearance or Psychosocial Impact) if agreed by all reviewers. All potentially eligible articles were then reviewed independently in full text against the inclusion and exclusion criteria by one author of the method chapter 29 (SS) and by one author from this chapter (IO/NS). Uncertainties were resolved by consultation with another reviewer (MTJ) 29 …”

Orofacial Esthetic Scale and Psychosocial Impact of Dental Aesthetics Questionnaire: development and psychometric properties of the Finnish version

“…Thus, it is important to assess the individual's perception of their orofacial appearance in both a clinical and a research context [4,5]. In the clinical context, this information will allow for the elaboration of a patient-centred treatment plan that can satisfy the individual's expectations [4][5][6]. At the same time, the clinician's role as expert has to be emphasized to bring evidence-based information to the patient-centred concept.…”

“…At the same time, the clinician's role as expert has to be emphasized to bring evidence-based information to the patient-centred concept. In a research context, this will help increase knowledge of the importance of orofacial appearance on an individual's life and how it can be affected by different cultures, oral conditions and types of treatment [6].…”

“…However, the perception of orofacial appearance cannot be directly measured. A standardized way of conducting this assessment is to use specific instruments known as dental patient-reported outcome measures (dPROMs) [4,6,7]. The Orofacial Esthetic Scale (OES) [8] and the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) [9] are dPROMs that are intended to assess orofacial appearance.…”