dc.creator | Rollón Ugalde, Paula | es |
dc.creator | Coello Suanzes, José Antonio | es |
dc.creator | López Jiménez, Ana María | es |
dc.creator | Herce López, Javier | es |
dc.creator | Toledano Valero, Pilar | es |
dc.creator | Montero-Martín, Javier | es |
dc.creator | Infante Cossío, Pedro Antonio | es |
dc.creator | Rollón Mayordomo, Ángel | es |
dc.date.accessioned | 2023-05-03T09:18:59Z | |
dc.date.available | 2023-05-03T09:18:59Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Rollón Ugalde, P., Coello Suanzes, J.A., López Jiménez, A.M., Herce López, J., Toledano Valero, P., Montero-Martín, J.,...,Rollón Mayordomo, Á. (2020). Oral health-related quality of life after dental treatment in patients with intellectual disability. Medicina Oral Patología Oral y Cirugía Bucal, 25 (5), e576-e583. https://doi.org/10.4317/medoral.23549. | |
dc.identifier.issn | 1698-4447 | es |
dc.identifier.issn | 1698-6946 | es |
dc.identifier.uri | https://hdl.handle.net/11441/145035 | |
dc.description.abstract | Background: The influence of dental treatment on oral health-related quality of life (OHRQOL) has rarely been
evaluated in patients with intellectual disability (ID) through validated questionnaires. The aim of this study was
to estimate the changes on OHRQOL in patients with ID after the implementation of an institutional dental treat ment program under general anesthesia using the Franciscan Hospital for Children Oral Health-Related Quality of
Life questionnaire (FHCOHRQOL-Q).
Material and Methods: A prospective longitudinal study was conducted on 85 patients (mean age=24.85 years)
classified according to DSM-V whose parents/caregivers completed the FHC-OHRQOL-Q. We analyzed the
changes in the questionnaire’s overall score and its dimensions from pre-treatment to 12-months of follow-up,
considering effect sizes and minimal important differences estimated by the standard measurement error. The
impact of clinical and therapeutic factors was evaluated using univariate and multiple linear regression analysis
(p<0.05).
Results: Significant improvement of OHRQOL was found after dental treatment in oral symptoms (p≤0.001),
daily life problems (p=0.018), parent’s perceptions (p=0.013) and FHCOHRQOL-Q´s overall score (p=0.001).
OHRQOL changes exhibited an intermediate magnitude (0.38-0.21) as estimated by effect sizes. Changes in oral
symptoms showed positive correlation with DMFT index (r=0.375, p=0.002), decayed teeth (r=0.244, p=0.036),
dental extractions (r=0.424, p<0.001) and number of treatments (r=0.255, p=0.019). The improvement was greater
in patients with ≥4 decayed teeth (p=0.049) and undergoing ≥2 dental extractions (p=0.002). Multiple regression
analysis demonstrated that dental extractions (p<0.001) and DMFT index (p=0.028) were significantly related to
oral symptom improvement.
Conclusions: Dental treatment under general anesthesia showed a positive effect on the overall FHC-OHRQOL-Q
score and most of its dimensions. At 12-months of follow-up, the improvement of oral symptoms was significantly
associated with DMFT index, decayed teeth, dental extractions and number of treatments. In our clinical setting, the
implementation of a dental treatment program enhanced the OHRQOL of patients with ID. | es |
dc.format | application/pdf | es |
dc.format.extent | 8 | es |
dc.language.iso | eng | es |
dc.publisher | Medicina Oral S.L. | es |
dc.relation.ispartof | Medicina Oral Patología Oral y Cirugía Bucal, 25 (5), e576-e583. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Oral health-related quality of life | es |
dc.subject | Intellectual disability | es |
dc.subject | General anesthesia | es |
dc.subject | Special needs | es |
dc.subject | Dental treatment | es |
dc.subject | Franciscan Hospital for Children Oral Health-Related Quality of Life questionnaire | es |
dc.title | Oral health-related quality of life after dental treatment in patients with intellectual disability | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Estomatología | es |
dc.identifier.doi | 10.4317/medoral.23549 | es |
dc.contributor.group | Universidad de Sevilla. HUM561: Investigación Suroeste | es |
dc.contributor.group | Universidad de Sevilla. CTS142: Patología Morfolog. y Func.del Territorio Oral y Maxilofac. | es |
dc.contributor.group | Universidad de Sevilla. CTS410: Epidemiología del Cáncer | es |
dc.journaltitle | Medicina Oral Patología Oral y Cirugía Bucal | es |
dc.publication.volumen | 25 | es |
dc.publication.issue | 5 | es |
dc.publication.initialPage | e576 | es |
dc.publication.endPage | e583 | es |