Oral health-related quality of life in diabetic patients: comparison of the Persian version of Geriatric Oral Health Assessment Index and Oral Health Impact Profile: A descriptive-analytic study

Abstract

BackgroundDiabetes mellitus is one of the systemic disease which is show important oral manifestation and influence oral health. This study describes how diabetes mellitus affects oral health and oral health-related quality of life. The aim of this study was to evaluate the oral health and oral health-related quality of life of diabetic patients and compare the discriminative capability of Persian versions of two GOHAI and OHIP-14 questionnaires in these patients.MethodsA total of 350 patients with Type II diabetes mellitus, referring to the Diabetes Clinic, were selected and data were collected by GOHAI and OHIP-14 questionnaires completed by patients and clinical examinations. Oral health parameters (CAL,BI,GI,PLI,DMFT and xerostomia) were measured, also concurrent validity and conformity of two questionnaires were assessed. In order to test Discriminant analysis capabilities of two questionnaires, ADD and SC scores of questionnaires were divided into two parts and a logistic regression model was designed, which included subjective and objective variables.ResultsMean patients age was 55 years (with 75.4% female patients). The results showed that some oral conditions such as xerostomia, clinical attachment loss, number of missing teeth and plaque index were correlated to diabetes control level (HbA1c) and type of anti-diabetic medication. ADD and SC scores of two questionnaires were at high level. However, the effect of oral problems on decreasing OHRQoL was evident. Both questionnaires had acceptable concurrent validity and conformity. Moreover, there was a strong correlation between GOHAI and OHIP-14. OHIP-14 questionnaire had a higher discriminant analysis capability compared to GOHAI and better diagnosed patients who needed dental treatments: patients with higher GI, xerostomia and those wearing partial dentures.ConclusionDiabetic patients did not show acceptable oral health status and in some extent, oral problems affected oral health-related quality of life. Psychotherapy courses and solving oral problems of the patients can improve OHRQoL. OHIP-14 had higher discriminant analysis capability and was more effective in diagnosing oral problems.

Factors associated with oral health‐related quality of life in patients with diabetes

“…A previous study involving 350 patients with diabetes showed that those who had dry mouth had more missing teeth. Moreover, in a study by Sandberg et al ., dry mouth was significantly associated with diabetes even after stratification for the medications taken.…”

The effects of periodontal treatment on diabetic patients: The DIAPERIO randomized controlled trial

“…The GOHAI was used to evaluate the OHRQoL (Tubert-Jeannin et al, 2003). This brings the patient's daily experience to the forefront (Blaizot et al, 2013) and provides the possibility to determine functional problems, discomfort and pain (Nikbin, Bayani, Jenabian, Khafri, & Motallebnejad, 2014). In fact, several studies have established a link between diabetes and low OHRQoL (Azogui-Lévy et al, 2018;Nikbin et al, 2014;Sadeghi, Taleghani, & Farhadi, 2014).…”

“…This brings the patient's daily experience to the forefront (Blaizot et al, 2013) and provides the possibility to determine functional problems, discomfort and pain (Nikbin, Bayani, Jenabian, Khafri, & Motallebnejad, 2014). In fact, several studies have established a link between diabetes and low OHRQoL (Azogui-Lévy et al, 2018;Nikbin et al, 2014;Sadeghi, Taleghani, & Farhadi, 2014). Periodontitis is known to affect OHRQoL by increasing the severity and extent of periodontal disease (Buset et al, 2016).…”

“Assessment of relationship between xerostomia and oral health‐related quality of life in patients with rheumatoid arthritis”

“…In addition to xerostomia, oral health‐related quality of life (OHRQoL) was assessed by Oral Health Impact Profile‐14 questionnaire (OHIP‐14) (Navabi, Nakhaee, & Mirzadeh, ; Slade, ). Among oral‐specific means, the OHIP is presently one of the most comprehensive measures of the impact of oral condition on health‐related quality of life (Allen & McMillan, ; Nikbin, Bayani, Jenabian, & Motallebnejad, ; Slade & Spencer, ; Vikram & Singh, ). This questionnaire contains 14 questions and examines the effect of oral health on daily physical, psychological, and social behavior of people.…”