Influence of oral mucosal lesions and oral symptoms on oral health related quality of life in dermatological patients: a cross sectional study in Sudan

Abstract

BackgroundThere are only few studies considering the impact of oral mucosal lesions (OML) on the oral quality of life of patients with different dermatological conditions. This study aimed to assess the relationship between oral health-related quality of life (OHRQoL) and OML and reported oral symptoms, perceived general and oral health condition and caries experience in adult skin diseased patients attending an outpatient dermatologic clinic in Sudan.MethodsA cross-sectional survey was carried out with 544 diagnosed skin diseased patients (mean age 37.1 years, 50 % females), during the period October 2008 to January 2009. The patients were orally examined and OML and caries experience was recorded. The patients were interviewed using the Sudanese Arabic version of the OIDP. OHRQoL was evaluated by socio-demographic and clinical correlates according to number of types of OML diagnosed (no OML, one type of OML, > one type of OML) and number and types of oral symptoms.ResultsAn oral impact (OIDP > 0) was reported by 190 patients (35.6 %) (mean OIDP total score 11.6, sd = 6.7). The prevalence of any oral impact was 30.5 %, 36.7 % and 44.1 %, in patients with no OML, one type of OML and more than one type of OML, respectively. Number of types of OML and number and types of oral symptoms were consistently associated with the OIDP scores. Patients who reported bad oral health, patients with ≥ 1 dental attendance, patients with > 1 type of OML, and patients with ≥ 1 type of oral symptoms were more likely than their counterparts in the opposite groups to report any OIDP. The odds ratios (OR) were respectively; 2.9 (95 % CI 1.9-4.5), 2.3 (95 % CI 1.5-3.5), 1.8 (95 % CI 1.1-3.2) and 6.7 (95 % CI 2.6-17.5). Vesiculobullous and ulcerative lesions of OML disease groups associated statistically significantly with OIDP.ConclusionOIDP was more frequently affected among skin diseased patients with than without OML. The frequency of the impacts differed according to the number of type of OML, oral symptoms, and OML disease groups. Dentists and dermatologists should pay special attention to skin diseased patients because they are likely to experience oral impacts on daily performances.

Impact of removable dentures on oral health-related quality of life among elderly adults in Taiwan

“…In a study evaluating the sensitivity of patient-centered outcome measures to treatment, McGrath et al [ 34 ] suggested that patients with ulcers and symptomatic oral mucosal lesions had poorer OHRQoL (measured using the OHIP-14) than their counterparts with non-symptomatic lesions. Recently, Suliman et al [ 13 ] showed that oral ulcerative lesions were significantly associated with oral impacts on daily performance, indicating poor quality of life. Moreover, Mandali et al [ 38 ] suggested that recall visits and shortened denture usage are essential for prevention of oral mucosal lesions.…”

“…In elderly people, OHRQoL is known to be associated with socioeconomic status [ 10 – 13 ], regular dental visits [ 14 ], subjective masticatory ability [ 15 ], and the number of remaining natural teeth [ 12 , 14 , 16 – 18 ]. Factors related to denture wearing that specifically affect the OHRQoL of elderly people wearing removable dentures include denture status [ 18 – 21 ], denture satisfaction [ 10 , 19 ], perceived loose denture [ 11 , 22 , 23 ], presence of oral pain [ 24 ], presence of oral ulcer [ 13 ], perceived halitosis [ 25 ] and perceived dry mouth [ 17 ]. Kuo et al [ 7 ] found that increased denture satisfaction was significantly related to an improvement in elderly patients’ OHRQoL.…”

Oral mucosal lesions’ impact on oral health‐related quality of life in preschool children

“…These findings were reinforced by data from other age ranges as demonstrated by Suliman et al . in a survey that analyzed mucocutaneous diseases carriers, and those having more than one type of OML were more susceptible to report oral impacts than those without OML or with only one type of OML. López‐Jornet , also evaluated the impact on OHRQoL among adults in an oral pathology service in Spain and concluded that oral mucosal diseases had a negative impact on OHRQoL.…”

Estado de salud periodontal de pacientes trasplantados renales y calidad de vida asociada. Estudio exploratorio

“…Si hay enfermedades periodontales, hay mayor riesgo de desarrollar bacteriemia secundaria a diversos procedimientos dentales asociada con la gravedad de la inflamación periodontal [28][29][30] , generando complicaciones infecciosas sistémicas [31][32][33][34] para estos pacientes, de tipo hiperrespuesta (que conduce a inflamación, daño tisular y reabsorción ósea) o hiporespuesta, lo que genera una progresión rápida de la periodontitis [35][36] .…”