Keywords
edentulism
geriatric oral health assessment index
oral health-related quality of life
Abstract
Introduction: Complete loss of teeth, though not life threatening, does have a significant impact on an individual, resulting in functional, psychological, and social limitations, affecting the quality of life and general health. Oral health related quality of life describes the outcomes of oral health conditions and therapy to those conditions.
Objective: Geriatric Oral Health Assessment Index questionnaire (GOHAI) consists of 12 items that have an impact on quality of life of the older population, such as functional limitation, psycho-social limitation, and self-medication administered for dental pain. The study aimed to assess the effects of complete edentulousness before prosthodontic rehabilitation using GOHAI.
Methods: Descriptive cross-sectional questionnaire study was done among 35 completely edentulous patients prior to prosthodontic rehabilitation using standardised GOHAI questionnaire consisting of 12 items and the twelfth item was eliminated due to its irrelevancy in the study group.
Result: The mean age of the participants was 64.86±8.28 years with the mean duration of edentulousness of 4.02±5.4 years. The ability to swallow comfortably had highest mean GOHAI score (2.80±0.47) followed by use of medication to relieve pain and discomfort around the mouth. The least mean GOHAI score was found in trouble biting or chewing any kinds of food, such as firm meat or apples (1.26±0.56). However, the psychosocial impairment due to problems associated with complete edentulousness was less.
Conclusion: Complete edentulousness was associated with impairment in physical functions like trouble in biting and chewing, with a need to limit the kinds and amount of food.
References
Polzer I, Schimmel M, Muller F, Biffar R. Edentulism as part of the general health problems of elderly adults. Int Dent J. 2010;60(3):143-55.
Walls, AWG. Mastication, nutrition, oral health and health in older patients. In: Lamster IB, Northridge ME, editors. Improving Oral Health for the Elderly: An Interdisciplinary Approach. New York: Springer; 2008. p.353-67.
Jokovic a, Locker D. Dissatisfaction with oral health status in an older adult population. J Public Health Dent. 1997;57(1):40-7.
Slade GD, Spencer AJ. Social impact of oral conditions among older adults. Aust Dent J. 1994;39(6):358-64.
Hewlett SA, Yawson AE, Calys-Tagoe BNL, Naidoo N, Martey P, Chatterji S, et al. Edentulism and quality of life among older Ghanaian adults. BMC Oral Health. 2015;15:48-56.
Hassel AJ, Rolko C, Koke U, Leisen J, Rammelsberg P. A German version of the GOHAI. Community Dent Oral Epidemiol. 2008;36(1):34-42.
Hebling E, Pereira AC. Oral health-related quality of assessment tools used in of life: a critical appraisal elderly people. Gerodontology. 2007;24(3):151-61.
Gil-Montoya J, Subirá C, Ramón J, González-Moles M. Oral health-related quality of life and nutritional status. J Public Health Dent. 2008;68(2):88-93.
Dable RA, Nazirkar GS, Singh SB, Wasnik PB. Assessment of Oral Health Related Quality of Life Among Completely Edentulous Patients in Western India by Using GOHAI. J Clin Diagn Res. 2013;7(9):2063-7.
Shigli K, Hebbal M. Assessment of changes in oral health-related quality of life among patients with complete denture before and 1 month post-insertion using Geriatric Oral Health Assessment Index. Gerodontology. 2010;27(3):167-73.
Kressin NR. Associations among different assessments of oral health outcomes. J Dent Educ. 1996;60(6):501-7.
Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ. 1990;54(11):680-7.
Katz S, Akpom CA. A measure of primary sociobiological functions. Int J Heal Serv. 1976;6(3):493-508.
Winarti TM, Yacob N, Nor W, Wan S, Ali A. The Assessment of Quality of Life Using GOHAI among Edentulous Patients. J Dent Maxillofac Res. 2019;2(1):1-3.
Dhama K, Razdan P, Niraj L, Ali I, Patthi B, Kundra G. Magnifying the senescence: Impact of oral health on quality of life and daily performance in geriatrics: A cross-sectional study. J Int Soc Prev Community Dent. 2017 Oct 1;7(Suppl 2):S113-8.
Hung HC, Willett W, Ascherio A, Rosner BA, Rimm E, Joshipura KJ. Tooth loss and dietary intake. J Am Dent Assoc. 2003;134(9):1185-92.
Paturu R, Veeravalli PT, Vaidyanathan AK, Grover M. Evaluation of nutritional status and eating pattern in first and second-time denture wearers: A prospective 60 days (2 months) pilot study. J Indian Prosthodont Soc. 2011;11(3):156-64.
Hutton B, Feine J, Morais J. Is there an association between edentulism and nutritional state? J Can Dent Assoc. 2002;68(3):182-7.