Towards Better Understanding of OHRQoL in Edentulous Patients
Identifieur interne : 000559 ( Pmc/Corpus ); précédent : 000558; suivant : 000560Towards Better Understanding of OHRQoL in Edentulous Patients
Auteurs : Ewa Rodakowska ; Joanna Baginska ; Dorota Cylwik-Rokicka ; Jacek JamiolkowskiSource :
- Iranian Journal of Public Health [ 2251-6085 ] ; 2016.
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PubMed: 27252929
PubMed Central: 4888187
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Towards Better Understanding of OHRQoL in Edentulous Patients</title><author><name sortKey="Rodakowska, Ewa" sort="Rodakowska, Ewa" uniqKey="Rodakowska E" first="Ewa" last="Rodakowska">Ewa Rodakowska</name><affiliation><nlm:aff id="AFF1">Dept. of Restorative Dentistry, Medical University of Bialystok, Bialystok, Poland</nlm:aff></affiliation></author><author><name sortKey="Baginska, Joanna" sort="Baginska, Joanna" uniqKey="Baginska J" first="Joanna" last="Baginska">Joanna Baginska</name><affiliation><nlm:aff id="AFF2">Dept. of Dentistry Propaedeutics, Medical University of Bialystok, Bialystok, Poland</nlm:aff></affiliation></author><author><name sortKey="Cylwik Rokicka, Dorota" sort="Cylwik Rokicka, Dorota" uniqKey="Cylwik Rokicka D" first="Dorota" last="Cylwik-Rokicka">Dorota Cylwik-Rokicka</name><affiliation><nlm:aff id="AFF3">Dept. of Prosthodontics, Medical University of Bialystok, Bialystok, Poland</nlm:aff></affiliation></author><author><name sortKey="Jamiolkowski, Jacek" sort="Jamiolkowski, Jacek" uniqKey="Jamiolkowski J" first="Jacek" last="Jamiolkowski">Jacek Jamiolkowski</name><affiliation><nlm:aff id="AFF4">Dept. of Public Health, Medical University of Bialystok, Bialystok, Poland</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27252929</idno><idno type="pmc">4888187</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888187</idno><idno type="RBID">PMC:4888187</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000559</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000559</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Towards Better Understanding of OHRQoL in Edentulous Patients</title><author><name sortKey="Rodakowska, Ewa" sort="Rodakowska, Ewa" uniqKey="Rodakowska E" first="Ewa" last="Rodakowska">Ewa Rodakowska</name><affiliation><nlm:aff id="AFF1">Dept. of Restorative Dentistry, Medical University of Bialystok, Bialystok, Poland</nlm:aff></affiliation></author><author><name sortKey="Baginska, Joanna" sort="Baginska, Joanna" uniqKey="Baginska J" first="Joanna" last="Baginska">Joanna Baginska</name><affiliation><nlm:aff id="AFF2">Dept. of Dentistry Propaedeutics, Medical University of Bialystok, Bialystok, Poland</nlm:aff></affiliation></author><author><name sortKey="Cylwik Rokicka, Dorota" sort="Cylwik Rokicka, Dorota" uniqKey="Cylwik Rokicka D" first="Dorota" last="Cylwik-Rokicka">Dorota Cylwik-Rokicka</name><affiliation><nlm:aff id="AFF3">Dept. of Prosthodontics, Medical University of Bialystok, Bialystok, Poland</nlm:aff></affiliation></author><author><name sortKey="Jamiolkowski, Jacek" sort="Jamiolkowski, Jacek" uniqKey="Jamiolkowski J" first="Jacek" last="Jamiolkowski">Jacek Jamiolkowski</name><affiliation><nlm:aff id="AFF4">Dept. of Public Health, Medical University of Bialystok, Bialystok, Poland</nlm:aff></affiliation></author></analytic><series><title level="j">Iranian Journal of Public Health</title><idno type="ISSN">2251-6085</idno><idno type="eISSN">2251-6093</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Petersen, Pe" uniqKey="Petersen P">PE Petersen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jodkowska, E" uniqKey="Jodkowska E">E Jodkowska</name></author><author><name sortKey="Wierzbicka, M" uniqKey="Wierzbicka M">M Wierzbicka</name></author><author><name sortKey="Szatko, F" uniqKey="Szatko F">F Szatko</name></author><author><name sortKey="Struzycka, I" uniqKey="Struzycka I">I Struzycka</name></author><author><name sortKey="Iwanicka Grzegorek, E" uniqKey="Iwanicka Grzegorek E">E Iwanicka-Grzegorek</name></author><author><name sortKey="Ganowicz, M" uniqKey="Ganowicz M">M Ganowicz</name></author><author><name sortKey="Zawadzinski, M" uniqKey="Zawadzinski M">M Zawadzinski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Slade, Gd" uniqKey="Slade G">GD Slade</name></author><author><name sortKey="Spencer, Aj" uniqKey="Spencer A">AJ Spencer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rodakowska, E" uniqKey="Rodakowska E">E Rodakowska</name></author><author><name sortKey="Mierzynska, K" uniqKey="Mierzynska K">K Mierzynska</name></author><author><name sortKey="Baginska, J" uniqKey="Baginska J">J Baginska</name></author><author><name sortKey="Jamiolkowski, J" uniqKey="Jamiolkowski J">J Jamiolkowski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Listl, S" uniqKey="Listl S">S Listl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, Yf" uniqKey="Chen Y">YF Chen</name></author><author><name sortKey="Yang, Yh" uniqKey="Yang Y">YH Yang</name></author><author><name sortKey="Chen, Jh" uniqKey="Chen J">JH Chen</name></author><author><name sortKey="Lee, He" uniqKey="Lee H">HE Lee</name></author><author><name sortKey="Lin, Ych" uniqKey="Lin Y">YCh Lin</name></author><author><name sortKey="Ebinger, J" uniqKey="Ebinger J">J Ebinger</name></author><author><name sortKey="Chou, Tm" uniqKey="Chou T">TM Chou</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Iran J Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Iran. J. Public Health</journal-id><journal-id journal-id-type="publisher-id">IJPH</journal-id><journal-id journal-id-type="pmc">IJPH</journal-id><journal-title-group><journal-title>Iranian Journal of Public Health</journal-title></journal-title-group><issn pub-type="ppub">2251-6085</issn><issn pub-type="epub">2251-6093</issn><publisher><publisher-name>Tehran University of Medical Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27252929</article-id><article-id pub-id-type="pmc">4888187</article-id><article-id pub-id-type="publisher-id">ijph-45-546</article-id><article-categories><subj-group subj-group-type="heading"><subject>Letter to the Editor</subject></subj-group></article-categories><title-group><article-title>Towards Better Understanding of OHRQoL in Edentulous Patients</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>RODAKOWSKA</surname><given-names>Ewa</given-names></name><xref ref-type="aff" rid="AFF1"><sup>1</sup></xref><xref ref-type="corresp" rid="C1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>BAGINSKA</surname><given-names>Joanna</given-names></name><xref ref-type="aff" rid="AFF2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>CYLWIK-ROKICKA</surname><given-names>Dorota</given-names></name><xref ref-type="aff" rid="AFF3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>JAMIOLKOWSKI</surname><given-names>Jacek</given-names></name><xref ref-type="aff" rid="AFF4"><sup>4</sup></xref></contrib><aff id="AFF1"><label>1</label>Dept. of Restorative Dentistry, Medical University of Bialystok, Bialystok, Poland</aff><aff id="AFF2"><label>2</label>Dept. of Dentistry Propaedeutics, Medical University of Bialystok, Bialystok, Poland</aff><aff id="AFF3"><label>3</label>Dept. of Prosthodontics, Medical University of Bialystok, Bialystok, Poland</aff><aff id="AFF4"><label>4</label>Dept. of Public Health, Medical University of Bialystok, Bialystok, Poland</aff></contrib-group><author-notes><corresp id="C1"><label>*</label><bold>Corresponding Author:</bold> Email:<email>ewarodakowska@interia.pl</email></corresp></author-notes><pub-date pub-type="ppub"><month>4</month><year>2016</year></pub-date><volume>45</volume><issue>4</issue><fpage>546</fpage><lpage>548</lpage><history><date date-type="received"><day>10</day><month>10</month><year>2015</year></date><date date-type="accepted"><day>27</day><month>10</month><year>2015</year></date></history><permissions><copyright-statement>Copyright© Iranian Public Health Association & Tehran University of Medical Sciences</copyright-statement><copyright-year>2016</copyright-year><license><license-p>This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.</license-p></license></permissions></article-meta></front><body><sec><title>Dear Editor-in-Chief</title><p>WHO goals for oral health 2020 target to reduce the number of edentulous persons and to increase the individuals with functional dentition. The prevalence of edentulismn differs among countries (5% Switzerland, 8% Denmark, 40% Poland, 53% Bulgaria, 78% Bosnia and Herzegovina) (
<xref rid="B1" ref-type="bibr">1</xref>). In Poland, between 1998 and 2009, the percentage of edentulous patients increased from 34.7% to 43.9% (
<xref rid="B2" ref-type="bibr">2</xref>). The Oral Health Impact Profile is an instrument including conceptual dimensions of OHRQoL (
<xref rid="B3" ref-type="bibr">3</xref>) giving greater weight to psychological and behavioral outcomes.</p><p>Our aim was to assess oral health impacts related to the Oral Health Impact Profile in edentulous patients with complete dentures from Bialystok, Poland.</p><p>The participants were recruited from two randomly chosen dental clinics in Bialystok, which constituted 11.1% of accessible public dental clinics. The inclusion criteria were: a public dental service, a prosthodontist, and patients with complete dentures. Participants consecutively filled in the questionnaire during their dental checkup. The participation was anonymous, voluntary. Patients unable to fill in the questionnaire were excluded from the survey. The Polish version of the OHIP-14 was used (
<xref rid="B4" ref-type="bibr">4</xref>). The values of Cronbach’s alpha (0.969) were calculated to assess the internal consistency for the whole score and for particular items removed. The statistical analysis was performed using the IBM SPSS Statistics 20.0 software. Statistical hypotheses were verified at <italic>P</italic><0.05. The final sample consisted of 100 edentate people. The age ranged from 49 to 97 yr, (mean age 72.65+/−9.25).
<xref ref-type="table" rid="T1">Table 1</xref>shows mean values of the total OHIP-14 and its dimensions in relation to different variables. The age was significantly associated with the functional limitation dimension. Level of education, dry mouth, chewing ability and self-rated oral health indicated significant association with total OHIP-14 and its dimensions. In
<xref ref-type="table" rid="T2">table 2</xref>chewing problems, dry mouth and self-rated oral health were significantly associated with the OHIP-14. Participants who reported chewing problems had a 6.17 times greater odds of having the OHIP-14 score above the median than those without chewing problems.</p><table-wrap id="T1" position="float"><label>Table 1:</label><caption><p>Mean values (SD) of the total OHIP-14 scores and its dimensions by age, gender, education, dry mouth, chewing ability and self-rated oral health</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="center" valign="top" rowspan="1" colspan="1"><bold>Variables</bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold>OHIP total</bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold>Functional limitation</bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold>Pain and discomfort</bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold>Psychological impact</bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold>Behavioral impact</bold></th></tr></thead><tbody><tr><td align="center" valign="top" rowspan="1" colspan="1">Age (yr)<xref ref-type="table-fn" rid="TFN1">*</xref></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1"><59</td><td align="center" valign="top" rowspan="1" colspan="1">15.17(12.98)</td><td align="center" valign="top" rowspan="1" colspan="1">1.83(0.40)</td><td align="center" valign="top" rowspan="1" colspan="1">2.17(2.48)</td><td align="center" valign="top" rowspan="1" colspan="1">6.33(5.53)</td><td align="center" valign="top" rowspan="1" colspan="1">4.83(4.99)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">60–74</td><td align="center" valign="top" rowspan="1" colspan="1">25.83(15.00)</td><td align="center" valign="top" rowspan="1" colspan="1">3.75(2.10)</td><td align="center" valign="top" rowspan="1" colspan="1">3.42(1.96)</td><td align="center" valign="top" rowspan="1" colspan="1">9.91(5.86)</td><td align="center" valign="top" rowspan="1" colspan="1">8.75(5.77)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">75<</td><td align="center" valign="top" rowspan="1" colspan="1">26.66(14.79)</td><td align="center" valign="top" rowspan="1" colspan="1">4.20(2.32)</td><td align="center" valign="top" rowspan="1" colspan="1">3.66(2.12)</td><td align="center" valign="top" rowspan="1" colspan="1">10.00(5.59)</td><td align="center" valign="top" rowspan="1" colspan="1">8.80(5.54)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Total</td><td align="center" valign="top" rowspan="1" colspan="1">25.53(14.90)</td><td align="center" valign="top" rowspan="1" colspan="1">3.82(2.19)</td><td align="center" valign="top" rowspan="1" colspan="1">3.44(2.07)</td><td align="center" valign="top" rowspan="1" colspan="1">9.73(5.74)</td><td align="center" valign="top" rowspan="1" colspan="1">8.54(5.66)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1"><italic>P</italic></td><td align="center" valign="top" rowspan="1" colspan="1">0.241</td><td align="center" valign="top" rowspan="1" colspan="1">0.022</td><td align="center" valign="top" rowspan="1" colspan="1">0.217</td><td align="center" valign="top" rowspan="1" colspan="1">0.352</td><td align="center" valign="top" rowspan="1" colspan="1">0.280</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Gender</td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Male (41)</td><td align="center" valign="top" rowspan="1" colspan="1">27.05(14.37)</td><td align="center" valign="top" rowspan="1" colspan="1">3.93(1.99)</td><td align="center" valign="top" rowspan="1" colspan="1">3.53(1.98)</td><td align="center" valign="top" rowspan="1" colspan="1">10.54(5.64)</td><td align="center" valign="top" rowspan="1" colspan="1">9.00(5.62)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Female</td><td align="center" valign="top" rowspan="1" colspan="1">24.47(15.30)</td><td align="center" valign="top" rowspan="1" colspan="1">3.73(2.33)</td><td align="center" valign="top" rowspan="1" colspan="1">3.34(2.13)</td><td align="center" valign="top" rowspan="1" colspan="1">9.17(5.79)</td><td align="center" valign="top" rowspan="1" colspan="1">8.22(5.72)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Total</td><td align="center" valign="top" rowspan="1" colspan="1">25.53(14.90)</td><td align="center" valign="top" rowspan="1" colspan="1">3.82(2.19)</td><td align="center" valign="top" rowspan="1" colspan="1">3.44(2.07)</td><td align="center" valign="top" rowspan="1" colspan="1">9.73(5.74)</td><td align="center" valign="top" rowspan="1" colspan="1">8.54(5.66)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1"><italic>P</italic></td><td align="center" valign="top" rowspan="1" colspan="1">0.453</td><td align="center" valign="top" rowspan="1" colspan="1">0.606</td><td align="center" valign="top" rowspan="1" colspan="1">0.530</td><td align="center" valign="top" rowspan="1" colspan="1">0.348</td><td align="center" valign="top" rowspan="1" colspan="1">0.557</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Education<xref ref-type="table-fn" rid="TFN1">*</xref></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Primary (39)</td><td align="center" valign="top" rowspan="1" colspan="1">28.10(13.67)</td><td align="center" valign="top" rowspan="1" colspan="1">4.28(1.98)</td><td align="center" valign="top" rowspan="1" colspan="1">4.00(2.05)</td><td align="center" valign="top" rowspan="1" colspan="1">10.49(5.33)</td><td align="center" valign="top" rowspan="1" colspan="1">9.33(5.28)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Secondary</td><td align="center" valign="top" rowspan="1" colspan="1">26.79(15.20)</td><td align="center" valign="top" rowspan="1" colspan="1">3.92(2.23)</td><td align="center" valign="top" rowspan="1" colspan="1">3.50(1.97)</td><td align="center" valign="top" rowspan="1" colspan="1">10.27(5.89)</td><td align="center" valign="top" rowspan="1" colspan="1">9.10(5.81)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Tertiary (13)</td><td align="center" valign="top" rowspan="1" colspan="1">13.15(11.95)</td><td align="center" valign="top" rowspan="1" colspan="1">2.08(1.89)</td><td align="center" valign="top" rowspan="1" colspan="1">1.54(1.33)</td><td align="center" valign="top" rowspan="1" colspan="1">5.46(4.82)</td><td align="center" valign="top" rowspan="1" colspan="1">4.08(4.34)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Total</td><td align="center" valign="top" rowspan="1" colspan="1">25.53(14.90)</td><td align="center" valign="top" rowspan="1" colspan="1">3.82(2.19)</td><td align="center" valign="top" rowspan="1" colspan="1">3.44(2.07)</td><td align="center" valign="top" rowspan="1" colspan="1">9.73(5.74)</td><td align="center" valign="top" rowspan="1" colspan="1">8.54(5.66)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1"><italic>P</italic></td><td align="center" valign="top" rowspan="1" colspan="1">0.008</td><td align="center" valign="top" rowspan="1" colspan="1">0.008</td><td align="center" valign="top" rowspan="1" colspan="1">0.001</td><td align="center" valign="top" rowspan="1" colspan="1">0.017</td><td align="center" valign="top" rowspan="1" colspan="1">0.010</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Dry mouth</td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">No (13)</td><td align="center" valign="top" rowspan="1" colspan="1">19.10(14.03)</td><td align="center" valign="top" rowspan="1" colspan="1">3.00(2.04)</td><td align="center" valign="top" rowspan="1" colspan="1">2.51(1.94)</td><td align="center" valign="top" rowspan="1" colspan="1">7.45(5.51)</td><td align="center" valign="top" rowspan="1" colspan="1">6.14(5.24)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Yes</td><td align="center" valign="top" rowspan="1" colspan="1">32.22(12.79)</td><td align="center" valign="top" rowspan="1" colspan="1">4.67(2.02)</td><td align="center" valign="top" rowspan="1" colspan="1">4.41(1.74)</td><td align="center" valign="top" rowspan="1" colspan="1">12.10(5.00)</td><td align="center" valign="top" rowspan="1" colspan="1">11.04(5.00)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Total</td><td align="center" valign="top" rowspan="1" colspan="1">25.53(14.90)</td><td align="center" valign="top" rowspan="1" colspan="1">3.82(2.19)</td><td align="center" valign="top" rowspan="1" colspan="1">3.44(2.07)</td><td align="center" valign="top" rowspan="1" colspan="1">9.73(5.74)</td><td align="center" valign="top" rowspan="1" colspan="1">8.54(5.66)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1"><italic>P</italic></td><td align="center" valign="top" rowspan="1" colspan="1">0.000</td><td align="center" valign="top" rowspan="1" colspan="1">0.000</td><td align="center" valign="top" rowspan="1" colspan="1">0.000</td><td align="center" valign="top" rowspan="1" colspan="1">0.000</td><td align="center" valign="top" rowspan="1" colspan="1">0.000</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Chewing ability</td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">No(51)</td><td align="center" valign="top" rowspan="1" colspan="1">16.31(12.14)</td><td align="center" valign="top" rowspan="1" colspan="1">2.77(1.92)</td><td align="center" valign="top" rowspan="1" colspan="1">2.23(1.64)</td><td align="center" valign="top" rowspan="1" colspan="1">5.85(4.41)</td><td align="center" valign="top" rowspan="1" colspan="1">5.46(4.55)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Yes</td><td align="center" valign="top" rowspan="1" colspan="1">26.91(14.85)</td><td align="center" valign="top" rowspan="1" colspan="1">3.98(2.19)</td><td align="center" valign="top" rowspan="1" colspan="1">3.62(2.07)</td><td align="center" valign="top" rowspan="1" colspan="1">10.31(5.71)</td><td align="center" valign="top" rowspan="1" colspan="1">9.00(5.69)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Total</td><td align="center" valign="top" rowspan="1" colspan="1">25.53(14.90)</td><td align="center" valign="top" rowspan="1" colspan="1">3.82(2.19)</td><td align="center" valign="top" rowspan="1" colspan="1">3.44(2.07)</td><td align="center" valign="top" rowspan="1" colspan="1">9.73(5.743</td><td align="center" valign="top" rowspan="1" colspan="1">8.54(5.66)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1"><italic>P</italic></td><td align="center" valign="top" rowspan="1" colspan="1">0.017</td><td align="center" valign="top" rowspan="1" colspan="1">0.027</td><td align="center" valign="top" rowspan="1" colspan="1">0.019</td><td align="center" valign="top" rowspan="1" colspan="1">0.008</td><td align="center" valign="top" rowspan="1" colspan="1">0.046</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Self rated oral health</td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td><td align="center" valign="top" rowspan="1" colspan="1"></td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Bad</td><td align="center" valign="top" rowspan="1" colspan="1">30.81(14.70)</td><td align="center" valign="top" rowspan="1" colspan="1">4.42(2.13)</td><td align="center" valign="top" rowspan="1" colspan="1">4.09(1.95)</td><td align="center" valign="top" rowspan="1" colspan="1">11.77(5.72)</td><td align="center" valign="top" rowspan="1" colspan="1">10.53(5.66)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Good(57)</td><td align="center" valign="top" rowspan="1" colspan="1">18.53(12.15)</td><td align="center" valign="top" rowspan="1" colspan="1">3.02(2.02)</td><td align="center" valign="top" rowspan="1" colspan="1">2.58(1.91)</td><td align="center" valign="top" rowspan="1" colspan="1">7.02(4.56)</td><td align="center" valign="top" rowspan="1" colspan="1">5.91(4.52)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Total</td><td align="center" valign="top" rowspan="1" colspan="1">25.53(14.90)</td><td align="center" valign="top" rowspan="1" colspan="1">3.82(2.19)</td><td align="center" valign="top" rowspan="1" colspan="1">3.44(2.07)</td><td align="center" valign="top" rowspan="1" colspan="1">9.73(5.74)</td><td align="center" valign="top" rowspan="1" colspan="1">8.54(5.66)</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1"><italic>P</italic></td><td align="center" valign="top" rowspan="1" colspan="1">0.000</td><td align="center" valign="top" rowspan="1" colspan="1">0.001</td><td align="center" valign="top" rowspan="1" colspan="1">0.000</td><td align="center" valign="top" rowspan="1" colspan="1">0.000</td><td align="center" valign="top" rowspan="1" colspan="1">0.000</td></tr></tbody></table><table-wrap-foot><fn id="TFN1"><p>Kruskal–Wallis*; Mann–Whitney’s U</p></fn></table-wrap-foot></table-wrap><table-wrap id="T2" position="float"><label>Table 2:</label><caption><p>Odds ratios of achieving OHIP-14 score above median value</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="center" valign="top" rowspan="1" colspan="1"><bold>Variable</bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold>OR</bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold>OHIP-14 95%CI</bold></th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Chewing problems (yes / no)</td><td align="center" valign="top" rowspan="1" colspan="1">6.17</td><td align="center" valign="top" rowspan="1" colspan="1">1.29–29.49<xref ref-type="table-fn" rid="TFN2">*</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Dry mouth (yes / no)</td><td align="center" valign="top" rowspan="1" colspan="1">4.12</td><td align="center" valign="top" rowspan="1" colspan="1">1.79–9.48<xref ref-type="table-fn" rid="TFN2">*</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Self-rated oral health (bad / good)</td><td align="center" valign="top" rowspan="1" colspan="1">8.19</td><td align="center" valign="top" rowspan="1" colspan="1">3.25–20.60<xref ref-type="table-fn" rid="TFN2">*</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Gender (male / female)</td><td align="center" valign="top" rowspan="1" colspan="1">1.47</td><td align="center" valign="top" rowspan="1" colspan="1">0.66–3.27</td></tr></tbody></table><table-wrap-foot><fn id="TFN2"><label>*</label><p>95%Cl does not include 1;</p></fn></table-wrap-foot></table-wrap><p>Our study is the first in Poland and Eastern Europe conducted on OHRQoL and associated factors in edentulous people using complete dentures. Our findings may be useful in developing preventive strategies and dealing with their impairments. The two most often reported domains were psychological and functional outcomes. They included “uncomfortable to eat foods”, “self-conscious” and “unsatisfactory diet”. A substantial proportion of participants demonstrated a number of oral health problems which were significantly associated with dry mouth, chewing problems, poor self-rated oral health, lower level of education and age over 75. Our data revealed significant level of impairment in elderly people using complete dentures (median-27; mean 25.53). The retained chewing function is a condition for a varied diet, and nutritional status which is significant at an older age. Our findings are consistent with results of the survey on chewing ability of elderly population conducted in different countries (
<xref rid="B5" ref-type="bibr">5</xref>). A poor OHRQoL in edentulous persons was clearly related to the occurrence of dry mouth, and this condition had a significant impact on all dimensions of OHRQoL. Level of education has different impact on oral health-related quality of life (
<xref rid="B6" ref-type="bibr">6</xref>). Age showed no impact on the OHIP total score, but the problems of participants over 75 years old were significantly associated with the difficulty in pronouncing words and a worse sense of taste.</p><p>Concluding, the Polish version of the OHIP-14 demonstrated good reliability and validity. Dry mouth, chewing problems and poor self-rated oral health, level of education and age over 75 were strongly associated with poor OHRQoL.</p></sec></body><back><ack><p>The authors declare that there is no conflict of interests.</p></ack><ref-list><title>References</title><ref id="B1"><label>1.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Petersen</surname><given-names>PE</given-names></name></person-group>(<year>2003</year>).
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