Influence of the renewal of removable dentures on oral health related quality of life

Abstract

BackgroundThe renewal of removable dentures is often suggested to denture wearers subject to discomfort. However, the impact of this rehabilitation on patients’ oral health related quality of life and their removable dentures related satisfaction is still unknown. This study was aimed at assessing these patient-centered outcomes and the potential impact of different factors.MethodsA cohort of 116 patients in need of removable dental prostheses rehabilitation was recruited at a dental hospital over a period of 1 year. The subjects were separated into two groups according to their prosthesis experience (group in need of removable dentures renewal/group needing an removable dentures for the first time). Subjects were asked to answer the “Geriatric Oral Health Assessment Index” (GOHAI) and the “McGill Denture Satisfaction Instrument” before and after a prosthesis integration period (9–12 weeks).ResultsGOHAI scores were slightly higher for patients with removable dentures renewal (from 40.6 ± 10.3 to 47.1 ± 10.0, p < 0.001), independently of the type of prosthetic rehabilitation. However, the scores of the GOHAI functional field did not change. Subjects with no removable dentures experience presented an increase in their functional GOHAI score (p < 0.001). Regarding patient removable dentures related satisfaction, only the “Esthetic” (p < 0.001), “Chewing efficiency” (p < 0.001) and “Oral condition” (p < 0.01) items increased after prosthesis renewal.ConclusionsThis study showed that renewing removable dentures only moderately improved the oral health related quality of life and removable dentures related satisfaction of patients, regardless of age, gender or type of rehabilitation. Other tasks are necessary such as the analysis of physiological parameters and qualitative research on patient’s expectations.

Validation and comparison of the Arabic versions of GOHAI and OHIP-14 in patients with and without denture experience

“…These variations might also be related to the above mentioned reasons. The non-significant results of GOHAI are similar to that observed by Bonnet et al [ 19 ] where they found no significant differences between GOHAI scores among patients with and without denture experience.…”

“…Only very few studies have been found in the literature comparing the OHRQoL of patients with and without denture experience. Bonnet et al [ 19 ] compared the impact of treatment with different types of removable dentures, including 33 bi-maxillary complete dentures patients, on patients’ OHRQoL using GOHAI and MGDSI (McGill Denture Satisfaction Index). To the best of our knowledge, this is the first clinical study using both GOHAI and OHIP-14 to measure and compare the OHRQoL before and after treatment in patients with and without denture experience.…”

Predictive Parameters of Oral Health Quality of Life in Complete Mandibular Denture Wearers Stabilized by Mini-Implants: A Two-Year Follow-Up Study

“…A study has shown that oral health status was significantly better after implant overdenture treatment than after new conventional denture treatment [ 21 ]. Indeed, renewing removable dentures only moderately improved oral health related quality of life [ 22 ].…”

The impact of a newly constructed removable denture on the objective and subjective masticatory function

“…have been used to subjectively evaluate the masticatory function. In this way, we evaluate the patient's perception of their oral status regarding their chewing satisfaction [24], chewing ability [14] and even the impact of their oral condition on their well-being [25,26]. Recent studies regarding the correlation of objective and subjective assessment have obtained differing results.…”