Preliminary study of the impact of loss of part of the face and its prosthetic restoration

Newton, J. T.; Fiske, Janice; Foote, O.; Frances, C; Loh, I. M.; Radford, David R.

doi:10.1016/s0022-3913(99)70058-2

Cited by 56 publications

(37 citation statements)

References 12 publications

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“…A qualitative methodology is adopted to allow identification of the full range of impacts identified by participants. Such an approach has been used previously in dental settings to examine a range of topics, including the emotional effects of tooth loss, 13 the impact of loss of part of the face 14 and the stress in dental practice. 15 …”

Section: Research Behavioural Dentistrymentioning

confidence: 99%

The impact of dental anxiety on daily living

Cohen¹,

Fiske²,

Newton³

2000

Br Dent J

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Aim To explore the impact of dental anxiety on daily living. Method Twenty people attending a dental sedation clinic completed the Modified Dental Anxiety Scale, and were interviewed privately using a reflexive, in-depth technique. All interviews were audio-tape recorded and transcribed. The transcripts were analysed to identify the impact of dental anxiety upon the participants' daily lives. Twenty-five per cent of the qualitative data was reviewed by an independent researcher to ensure the reliability of the analysis. Results The mean age of participants was 41 years (range 23 to 60). The mean MDAS score was 21.5 (range 14 to 25). Five main impacts of dental anxiety were identified: physiological; cognitive; behavioural; health; and social. Subsumed under these broad categories were: the fright response; a vast array of negative thoughts, feelings and fears; avoidance behaviour and behaviours related to eating, oral hygiene, and self-medication; and other manifestations of anxiety in the dental environment including muscular tension, crying and aggression were all identified. Dental anxiety was also found to disturb sleep and to have a profound affect socially, interfering with work and personal relationships. Conclusion The impact that dental anxiety can have on people's lives is wide-ranging and dynamic.

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Section: Research Behavioural Dentistrymentioning

confidence: 99%

The impact of dental anxiety on daily living

Cohen¹,

Fiske²,

Newton³

2000

Br Dent J

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“…This very often leaves an oronasal and/or oroantral defect, resulting in severe functional problems concerning mastication, deglutition, and speech. Therefore, an appropriate substitute for the tissue lost is inevitably necessary to restore function and regain quality of life (QoL) [3, 4]. Maxillofacial defects are usually complex, involving skin, bone, muscle, cartilage, and multiple layers of mucosa, so reconstruction of such defects is often challenging.…”

Section: Introductionmentioning

confidence: 99%

Quality of life and problems associated with obturators of patients with maxillectomies

2018

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BackgroundMaxillary defects predispose patients to different undesirable effects. The aim of this study was to assess the quality of life (QoL) of patients with maxillary defects (acquired/congenital) wearing obturators.MethodsThe study comprised 30 patients aged between 16 and 78 years. Interviews were conducted to collect information pertaining to patients; sociodemographic, self-reported function of obturator using Obturator Functioning Scale (OFS), self-evaluation of general health using Visual Analogue Scale (VAS), radiotherapy treatment, salivary gland removal, reconstructive surgery, neck dissection and length of time obturators were worn. Clinical examination included type of maxillectomy, Aramany classification of the defect, and evaluation of obturator function using the Kapur retention and stability scoring system.ResultQuality of life was affected significantly by marital status (P = 0.026). Married patients had better quality of life 61.3%, followed by divorced patients 38.8%, widowed 37.3% and the least QoL was detected in single patients 36.5%. Significant association between the type of maxillectomy and QoL was detected (P = 0.002). Retention of obturator prosthesis had a highly significant association with QoL (P < 0.001). Type of maxillectomy had a significant relation with obturator retention (P = 0.005). Stability had a significant correlation with QoL (P = 0.022). Obturator wearers who were treated with radiotherapy had lower QoL than those who were not treated with radiotherapy.ConclusionRehabilitation of patients with maxillary defects using obturator prosthesis is an appropriate and not invasive treatment modality. Results support that good obturators contribute to a better life quality.

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“…Facial disfigurement as a result of a congenital anomaly, trauma or tumour surgery can have devastating effects on the aesthetic, functional, economic, and psychosocial aspects of a person’s life [3-8]. …”

Section: Introductionmentioning

confidence: 99%

Assessment of health-related quality of life in Turkish patients with facial prostheses

Atay

Peker

Günay

et al. 2013

Health and Quality of Life Outcomes

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BackgroundFacial prostheses are intended to provide a non-operative rehabilitation for patients with acquired facial defects. By improving aesthetics and quality of life (QOL), this treatment involves reintegration of the patient into family and social life. The aim of this study was to evaluate the perception of QOL in adult patients with facial prostheses and to compare this perception with that of a control group.MethodsThe study participants consisted of 72 patients, who were divided into three equal-sized groups according to the type of prosthesis (OP- orbital prosthesis, AP- auricular prosthesis, NP - nasal prosthesis) and 24 healthy control participants without any congenital or acquired deformity of face or body. Clinical and socio-demographic data were gathered from each person’s medical chart. Participants completed the Turkish version of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF). Descriptive statistics, independent sample t-tests, Pearson's chi-square test, ANOVA, ANCOVA, and Pearson correlation were used to analyse the data.ResultsCompared with the control participants, patients with NP scored lower on the all domains of QOL and all three patient groups had lower scores on overall QOL and its domains of physical and environmental health. Patients with OP reported significantly lower physical health scores than those with AP, while patients with NP reported significantly lower overall QOL and psychological health scores than those with AP. Female patients had lower environmental domain scores than did male patients. The patient’s age and income correlated with social relationships QOL, while the patient’s income and the age of facial prosthesis were correlated with environmental QOL.ConclusionPatients with facial prostheses had lower scores in overall QOL, physical and environmental health domains than the control participants. Socio-demographic and clinical characteristics such as age, gender, income, localization of the defect, and age of facial prosthesis were associated with patients’ QOL. These findings may provide valuable information about the specific health needs of these patients that may affect their well-being. Further studies are needed to confirm these results. Use of the WHOQOL-BREF may provide valuable information for determining patients’ needs and priorities as well as for planning and developing comprehensive prosthetic rehabilitation programs.

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Preliminary study of the impact of loss of part of the face and its prosthetic restoration

Cited by 56 publications

References 12 publications

The impact of dental anxiety on daily living

The impact of dental anxiety on daily living

Quality of life and problems associated with obturators of patients with maxillectomies

Assessment of health-related quality of life in Turkish patients with facial prostheses

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