The severity of facial burns, dental caries, periodontal disease, and oral hygiene impact oral health-related quality of life of burns victims in Pakistan: a cross-sectional study

Abstract

Background A burn to the face and neck area leaves a visible scar that impacts the victims physically and psychologically. This report was aimed to examine the factors associated with oral health-related quality of life (OHRQoL) in patients with a facial burn injury. Methods Patients with facial burn who attended the Burn Care Centre in Islamabad, Pakistan were systematically and randomly invited to participate in this cross-sectional study. They underwent extra- and intra-oral examinations and, completed self-administered instruments in the Urdu language. The severity of disfigurement, dental caries experience (DMFT), periodontal disease (CPI) and oral hygiene (OHI-S) statuses were assessed. The validated instruments collected information relating to sociodemographic background, oral health behaviours, OHRQoL and satisfaction with appearance (SWAP). Information relating to the time of the incident, cause and severity (type, TBSA) of the burn were obtained from medical records. The OHRQoL prevalence of impact and severity measures were derived and analysed using simple and multiple, logistic and linear regression. Results A total of 271 patients had participated in the study. The OHIP-14 prevalence of impact was 94% with mean severity score = 37 unit (sd = 8.5). The most impacted domains were physical pain (87%), psychological disability (87%), social disability (85%) and physical discomfort (83%). The main determinants of oral health-related quality of life were poor clinical oral conditions - particularly caries, and severity deformity. Other risk factors included poor oral health behaviours, psychological distress and longer time elapsed since the incident, and sex (p < 0.05). Conclusion Dental caries, the severity of the facial deformity, oral health behaviour and time are associated with oral health-related quality of life of patients with facial burns. Oral health behaviour improvement can lower the risk of developing dental problems and oral health-related quality of life impact.

Evaluating a linkage between obesity and the occurrence of dental caries among school going children in Sakaka, Al Jouf, Kingdom of Saudi Arabia

“…This finding was statistically insignificant. This result was in line with the results of the previous studies where a greater risk of dental caries was related to irregular tooth brushing habits ( Ashour, Ashour & Basha, 2018 ; Chaudhary & Ahmad, 2021 ; Chaudhary, Ahmad & Bashir, 2019 ; Chaudhary, Ahmad & Sinor, 2021 ; Farooqi et al, 2015 ). Additionally, other oral hygiene habits like usage of dental floss and mouthwash/rinsing habits were found to be not significant among the study participants.…”

Work-Related Musculoskeletal Disorders and Their Associated Risk Factors among Pakistani Dental Practitioners: A Cross-Sectional Study

“…The high frequency of WMSDs in this study indicates that the dental practice is ergonomically unfriendly among Pakistani dental practitioners: however, more research is needed before logical conclusions can be drawn so that preventive advice and interventions be done to decrease the incidence of WMSDs. High figures illustrated in the survey should be a point of concern because WMSDs cause a decrease in the quality of life and forces early retirement [ 16 , 29 ].…”

Caries Risk Assessment Using the Caries Management by Risk Assessment (CAMBRA) Protocol among the General Population of Sakaka, Saudi Arabia—A Cross-Sectional Study

“…The prevalence of dental caries is considerably lower in developed nations, which may be due to better living conditions, health awareness, application of fluorinated products, and preventive oral care programs [23][24][25]. Most of the participants in this study had a high risk of caries (85%) while the remainder were in the moderate-risk group.…”