Effects of Oral Health on Wellbeing and Quality of Life

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: closed (30 June 2023) | Viewed by 5452

Special Issue Editor


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Guest Editor
Department of Oral pathology and Oral Medicine, Graduate and Research Division, Dental School, National Autonomous University of Mexico, Mexico City CP 04360, Mexico
Interests: oral pathology; oral health; quality of life; oral infectious diseases; oral lesions and HIV/AIDS
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Special Issue Information

Dear Colleagues,

It has been well accepted that well-being is not only the absence of disease but should include an adequate social and psychological environment. Therefore, psychosocial components have acquired enormous importance for the understanding, control and eventual prevention of several diseases, including oral diseases. Some chronic and systemic diseases are related to poor oral health which often worsens these diseases. Recently, it has been recognized that oral health has a great impact on the general quality of life. Even more, quality of life is a quality that goes beyond being an instrument of measurement, but in itself is part of well-being.

Therefore, obtaining information on the quality of life and quality of life related to oral health, and their impact on well-being, is indispensable. It is especially relevant to know these factors in vulnerable and very vulnerable populations, patients with chronic diseases living in underdeveloped or developing countries. Oral health is not only a necessary condition for the administration of medicines, but it is also fundamental for proper nutrition and, equally important, social communication. It is important to note that severely compromised oral health in vulnerable populations showed difficulty in chewing, swallowing, maintenance of salivary flow, and tasting foods, the last one an important and frequently the only source of hedonism. Consequently, oral health in vulnerable and very vulnerable populations reminds fundamental in an integral hallmark of the disease.

Prof. Dr. Luis Alberto Gaitán-Cepeda
Guest Editor

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Keywords

  • wellbeing, quality of life
  • quality of life related to oral health
  • HIV/AIDS
  • children
  • elderly
  • degenerative diseases
  • oral lesions

Published Papers (4 papers)

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Research

15 pages, 1552 KiB  
Article
Age-Related Quality of Life and Psychosocial Impact of Chin Asymmetry in Adolescents and Young Adults Undergoing Orthodontic and Orthognathic Correction
by Serban Talpos, Marius Pricop, Camelia Szuhanek, Robert Avramut, Nicoleta Nikolajevic-Stoican, Raluca Maracineanu, Roxana Talpos, Tareq Hajaj and Malina Popa
Healthcare 2023, 11(13), 1855; https://doi.org/10.3390/healthcare11131855 - 26 Jun 2023
Cited by 1 | Viewed by 719
Abstract
Craniofacial asymmetry can have significant psychosocial implications, affecting the quality of life in adolescents and young adults. This study aimed to assess the impact of age and complexity of craniofacial asymmetry on quality of life and psychosocial outcomes in patients undergoing orthodontic and [...] Read more.
Craniofacial asymmetry can have significant psychosocial implications, affecting the quality of life in adolescents and young adults. This study aimed to assess the impact of age and complexity of craniofacial asymmetry on quality of life and psychosocial outcomes in patients undergoing orthodontic and orthognathic correction. A cross-sectional study was conducted on 149 patients aged 13–26 years with moderate or severe craniofacial asymmetry that had a gnathion deviation higher than 2 mm, according to the American Association of Orthodontists. Participants were divided into three groups: teenagers (n = 53), adults (n = 46), and a control group (n = 50) with relative craniofacial asymmetry. Quality of life and psychosocial impacts were evaluated using validated questionnaires that measure health-related quality of life (SF-36), body image satisfaction and self-acceptance (BIQLI), anxiety and depression levels (HADS), and perceived stress (PSS-10). These tools provided an encompassing appraisal of the psychological and social implications associated with craniofacial asymmetry before and six months after orthodontic and orthognathic correction. Before the intervention, adults had higher mental health scores compared to teenagers (p = 0.037). At the 6-month follow-up, no significant differences in mental health scores were observed between the two groups (p = 0.121). BIQLI results showed significant differences in satisfaction with appearance and self-acceptance between teenagers and adults, both before intervention (p = 0.045 and p = 0.051, respectively) and at six months (p = 0.062 and p = 0.031, respectively). HADS results showed significant differences in anxiety levels before intervention (p = 0.039) but not at six months (p = 0.133). PSS-10 results showed no significant differences in perceived stress between the groups. In conclusion, this study demonstrates that craniofacial asymmetry significantly impacts the quality of life and psychosocial well-being of adolescents and young adults. Specifically, teenagers, as compared to young adults, reported lower satisfaction with their appearance and lower self-acceptance before intervention, underscoring the profound psychosocial challenges that adolescents with craniofacial asymmetry may experience. These age-related differences underscore the importance of tailored interventions to address unique psychosocial needs at different developmental stages. Full article
(This article belongs to the Special Issue Effects of Oral Health on Wellbeing and Quality of Life)
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12 pages, 1207 KiB  
Article
Neuroticism and Psychological Stress in Patients Suffering Oral Lichen Planus: Research Evidence of Psycho-Stomatology?
by Luis Alberto Gaitán-Cepeda, Diana Ivette Rivera-Reza and María del Carmen Villanueva-Vilchis
Healthcare 2023, 11(12), 1738; https://doi.org/10.3390/healthcare11121738 - 13 Jun 2023
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Abstract
Psychosocial factors influence the development, exacerbation, or aggravation of some oral diseases. However, the possible relationship between personality traits, affective disorders, and psychological stress in oral diseases, and their impact on oral health-related quality of life (OHRQoL), has not been fully clarified. The [...] Read more.
Psychosocial factors influence the development, exacerbation, or aggravation of some oral diseases. However, the possible relationship between personality traits, affective disorders, and psychological stress in oral diseases, and their impact on oral health-related quality of life (OHRQoL), has not been fully clarified. The aim of the present study was to determine the association of neuroticism and stress with the presence of oral lichen planus (OLP), and to discover whether or not these factors impact OHRQoL. This is a case-control study matched for age and sex. The case group (OLP group) was composed of 20 patients diagnosed with OLP, while 20 people with a diagnosis of lesions not associated with stress formed the control group. Three instruments were used: the Holmes–Rahe Social Readjustment Scale, the Five Factor Personality Model, and the OHIP-49. Neuroticism obtained a score of 25.5 (±5.4) in the OLP group, which was higher than the control group value (21.7) (±5.1) (p = 0.03). The OLP group showed a worse quality of life (p < 0.05); the most affected dimensions were psychological discomfort and physical disability. It is important to include a psychological profile to establish a comprehensive treatment for these patients. We propose the recognition of a new area of clinical oral medicine: psycho-stomatology. Full article
(This article belongs to the Special Issue Effects of Oral Health on Wellbeing and Quality of Life)
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8 pages, 228 KiB  
Article
Oral Health-Related Quality of Life in Patients with Chronic Oral Mucosal Diseases: Reliability and Validity of Urdu Version of Chronic Oral Mucosal Disease Questionnaire (COMDQ)
by Danial Qasim Butt, Osama Khattak, Farooq Ahmad Chaudhary, Alzarea K. Bader, Hasan Mujtaba, Azhar Iqbal, Shahab Ud Din, Gharam Radhi A. Alanazi, Mohammed Ghazi Sghaireen and Waseem Ahmad
Healthcare 2023, 11(4), 606; https://doi.org/10.3390/healthcare11040606 - 17 Feb 2023
Cited by 1 | Viewed by 1290
Abstract
The aim of the study was to translate and validate the Urdu version of the Chronic Oral Mucosal Disease Questionnaire (COMDQ) and measure the oral health-related quality of life (OHRQoL) in Pakistani patients with chronic oral mucosal disease. One hundred and twenty patients [...] Read more.
The aim of the study was to translate and validate the Urdu version of the Chronic Oral Mucosal Disease Questionnaire (COMDQ) and measure the oral health-related quality of life (OHRQoL) in Pakistani patients with chronic oral mucosal disease. One hundred and twenty patients with chronic oral mucosal diseases were recruited for this study. Two types of reliability of the COMDQ were tested. First, the internal consistency was calculated using Cronbach’s alpha, and second, test-retest reliability was calculated using intraclass correlation coefficients (ICC). Convergent validity was assessed for testing the validity of the COMDQ by examining the correlations with the Visual Analogue Scale (VAS) and OHIP-14 using Pearson’s correlations coefficient, and a t-test was used to compare the COMDQ domains and the socio-demographic characteristics. The most prevalent chronic oral mucosal disease (COMD) among the participants was recurrent aphthous stomatitis (47.5%), and the least prevalent was oral granulomatosis (6.6%). The total mean score for COMDQ was 43.5 (SD = 18.4). It showed a high level of internal consistency (Cronbach’s a = 0.81), and test-retest reliability was also good (r = 0.85). The total score of COMDQ was strongly correlated with the total score of OHIP-14 and VAS (r = 0.86 and r = 0.83), which indicated good convergent validity. The score of pain and the functional limitation domain reported a significant difference with age (p < 0.021) and employment status (p < 0.034). The Urdu version of COMDQ is an accurate, valid, and reliable instrument that can be used to assess the OHRQoL in patients with chronic oral mucosal diseases in Pakistani and other Urdu-speaking populations of different age groups. Full article
(This article belongs to the Special Issue Effects of Oral Health on Wellbeing and Quality of Life)
10 pages, 252 KiB  
Article
Oral Health-Related Quality of Life from Young Adulthood to Mid-Life
by Chuen Lin Hong, W. Murray Thomson and Jonathan M. Broadbent
Healthcare 2023, 11(4), 515; https://doi.org/10.3390/healthcare11040515 - 09 Feb 2023
Cited by 2 | Viewed by 1832
Abstract
Quality of life varies with time, often worsening, and is affected by circumstances, events, and exposures at different stages of life. Little is known about how oral health-related quality of life (OHRQoL) changes during middle age. We investigated OHRQoL changes from age 32 [...] Read more.
Quality of life varies with time, often worsening, and is affected by circumstances, events, and exposures at different stages of life. Little is known about how oral health-related quality of life (OHRQoL) changes during middle age. We investigated OHRQoL changes from age 32 to 45 years among participants in a population-based birth cohort, along with clinical and socio-behavioural associations. Generalised estimating equation models were used to investigate the association between OHRQoL (assessed at ages 32, 38, and 45 years; n = 844), and the socioeconomic position in childhood (up to age 15 years) and adulthood (ages 26 through to 45 years), dental self-care (dental services utilisation and tooth brushing), oral conditions (such as tooth loss), and experiencing a dry mouth. The multivariable analyses were controlled for sex and personality traits. At each stage of life, those of a lower socioeconomic status were at greater risk of experiencing OHRQoL impacts. Those who engaged in favourable dental self-care habits (the regular use of dental services and at least twice daily tooth brushing) experienced fewer impacts. A social disadvantage at any stage of life has enduring deleterious effects on one’s quality of life in middle age. Ensuring access to timely and appropriate dental health services in adulthood may reduce the impacts of oral conditions on one’s quality of life. Full article
(This article belongs to the Special Issue Effects of Oral Health on Wellbeing and Quality of Life)
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