Oral Health-Related Quality of Life in Chronic Liver Failure Patients Measured by OHIP-14 and GOHAI

Abstract

Background. Oro-dental diseases are prevalent in chronic liver failure (CLF) patients. The aim of this study was to evaluate the quality of life associated with oral health in candidates for liver transplant surgery. Materials and Methods. The demographic information of 105 end-stage liver cirrhotic patients was collected. All patients were ordered a panoramic view for pretransplant dental evaluation. The DMFT (decayed-missing-filled tooth) index was calculated for dental examination. The model for end-stage liver disease (MELD) was used for the severity of liver disease. The OHIP-14 (Oral Health Impact Profile) questionnaire and GOHAI (Geriatric Oral Health Assessment Index) questionnaire were applied to evaluate the impact of oral disease on the quality of life. Results. A total of 79 patients thoroughly completed the questionnaires; 79.7% were male, 32.9% were over 50, and 25.3% were less than 30 years old. Further, 12.7% smoked, 2.5% were illiterate, 64.6% had not finished school, and 10.1% had university degrees. Almost half of the cirrhotic patients were suffering from the disease for more than 3 years. Most complaints reported by the patients as “very often” were becoming self-conscious (13.9%) and being uncomfortable when eating any foods (13.9%) followed by feeling tense (12.8%). There was no significant difference between gender, smoking, age, and MELD score based on quality of life (OHIP and GOHAI) ( P > 0.05 ). The level of education ( P = 0.020 ), duration of disease ( P = 0.017 ), and DMFT index ( P = 0.039 ) had a significant impact on oral health-related quality of life in CLF patients. An inverse relationship was seen between the DMFT index and the quality of life. Conclusion. Oral health has a high impact on the quality of life of cirrhotic patients. The psychological dimension of oral health is the most debilitating factor affecting the quality of life. This shows the importance of professional oral care, oral health, and self-care education in this group of patients.

Relationship between Quality of Life and Oral Health Status of Patients with Chronic Liver Disease

“…Since both age groups were considered in the present study, it seems that this index is higher than that in the general population of Iran, which consistent with the findings by Helenius-Hietala et al [15]. In the of Zahed et al [24], the DMFT index and bone level were not significantly different between the two groups (patients with chronic liver failure versus healthy individuals).…”

Oral findings in children on liver transplantation programming: a scoping review

“…A total of 771 articles were selected for reading by title and abstract, of which 752 were removed for not meeting the eligibility criteria based only on the initial screening. A total of 19 articles 5 , 9 , 10 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 were read in their entirety. Of these, 16 were excluded because two 18 , 19 evaluated oral findings/characteristics in adults; five 23 , 26 , 28 , 29 reported oral features/findings/characteristics of post liver transplantation; three 9 , 16 , 28 presented merged data of oral characteristics/findings between pre- and post-transplantation phases (which made it impossible to extract data only from the pre-transplantation phase); two 10 , 27 evaluated oral conditions in two groups, liver and kidney diseases; one 16 was a literature review; and three 21 , 22 , 24 were excluded since the archives were not found.…”

“…A total of 19 articles 5 , 9 , 10 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 were read in their entirety. Of these, 16 were excluded because two 18 , 19 evaluated oral findings/characteristics in adults; five 23 , 26 , 28 , 29 reported oral features/findings/characteristics of post liver transplantation; three 9 , 16 , 28 presented merged data of oral characteristics/findings between pre- and post-transplantation phases (which made it impossible to extract data only from the pre-transplantation phase); two 10 , 27 evaluated oral conditions in two groups, liver and kidney diseases; one 16 was a literature review; and three 21 , 22 , 24 were excluded since the archives were not found. Later, two additional articles 31 , 32 were identified through manual search of the reference lists and were fully read, but were not included once they did not meet the inclusion criteria.…”

Revisão integrativa condição oral e qualidade de vida relacionada à saúde bucal dos pacientes com indicação ao transplante de fígado: uma revisão integrativa

“…Entre os 19 estudos incluídos, 11 avaliaram apenas portadores de cirrose hepática avançada e candidatos a transplante de fígado (Kwak et al, 2020), (Zahed, Ranjbar, et al, 2020), (Grønkjaer et al, 2018), (Lins et al, 2017), (Wu et al, 2021), (Hicks, 2015), (Helenius-Hietala et al, 2012), (Grønkjaer et al, 2021), (Lins et al, 2011), (Pidhorodeckyj et al, 2018), (Ramaglia et al, 2019), seis avaliaram grupo pré transplante e controles sadios (Zahed, Bahador, et al, 2020), (di Profio et al, 2018, (Ghapanchi et al, 2019), (Ghapanchi et al, 2020), (Sérgio et al, 2012, (Castellanos-Cosano et al, 2013), um estudo avaliou participantes no pré e pós transplante em comparação com grupo controle saudável (Schmalz et al, 2018), outro comparou pacientes do prétransplante com os do pós-transplante (Kauffels et al, 2017).…”