CC BY 4.0 · Eur J Dent 2022; 16(02): 351-359
DOI: 10.1055/s-0041-1735796
Original Article

Oral Health-Related Quality of Life, Dry Mouth Sensation, and Level of Anxiety in Elderly Patients Rehabilitated with New Removable Dentures

Lisiane Cristina Bannwart
1   Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
2   Paulista University, School of Dentistry, Manaus, Amazonas, Brazil
,
1   Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
,
Marcelo Coelho Goiato
1   Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
3   Oral Oncology Center, School of Dentistry, São Paulo State University, Araçatuba, São Paulo, Brazil
,
Daniela Micheline dos Santos
1   Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
3   Oral Oncology Center, School of Dentistry, São Paulo State University, Araçatuba, São Paulo, Brazil
,
Cristina Aparecida da Silva Paiva
2   Paulista University, School of Dentistry, Manaus, Amazonas, Brazil
,
Nathaly Vilene de Araújo Moreno
2   Paulista University, School of Dentistry, Manaus, Amazonas, Brazil
,
Emily Vivianne Freitas da Silva
1   Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
,
André Pinheiro de Magalhães Bertoz
4   Department of Pediatric and Social Dentistry, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
› Author Affiliations
Funding None.

Abstract

Objective This study aimed to evaluate the influence of new complete dentures (CDs) and new removable partial dentures (RPDs) on oral health-related quality of life, dry mouth sensation, and anxiety level of their wearers.

Materials and Methods In total, 20 complete edentulous patients (in both arches) that needed to be rehabilitated with new CDs, and 20 partial edentulous patients (in both arches) that needed to be rehabilitated with new RPDs, were included in this study. Each patient must wear the same pair of CDs or RPDs for more than 5 years. Oral health-related quality of life, dry mouth sensation, and level of anxiety were assessed by using the following questionnaires: Geriatric Oral Health Assessment Index (GOHAI), VAS (Visual Analog Scale) Xerostomia Questionnaire, and State-Trait Anxiety Inventory (STAI). These questionnaires were applied before oral rehabilitation (initially initial time point) and 3 months after insertion of new dentures (end time point).

Statistical Analysis For the results of STAI-State, STAI-Trait, and GOHAI, the Wilcoxon test was applied to compare the time points. For the results of the VAS xerostomia questionnaire, two-way repeated measures ANOVA (analysis of variance) was applied, followed by the Tukey test. The p-values lower than 0.05 were considered statistically significant.

Results/Conclusion For both groups, it was observed that 3 months after the insertion of new removable dentures: (1) there was an increase in oral health-related quality of life; (2) there was a reduction in anxiety (trait anxiety and state anxiety); and (3) there was a perception of greater salivation.

Ethical Approval

This study was approved by the Human Research Ethics Committee of the Paulista University (School of Dentistry, Manaus, Amazonas, Brazil) with the number 67156417.1.0000.5512. All patients included in this study signed an informed consent form.




Publication History

Article published online:
23 November 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 de Moraes Melo Neto CL, da Silva EVF, de Sousa Ervolino IC, Dos Santos DM, de Magalhães Bertoz AP, Goiato MC. Comparison of different methods for obtaining centric relation: a systematic review. Gen Dent 2021; 69 (01) 31-36
  • 2 de Moraes Melo Neto CL, Sábio S, Santin GC. et al. Effects of 50- and 70-Gy radiation doses on polymethyl methacrylate denture bases. Gen Dent 2020; 68 (06) 56-59
  • 3 de Moraes Melo Neto CL, da Silva Dantas LA, Pedroni Meyer AC. et al. Effect of radiotherapy on the artificial acrylic resin tooth bond to the acrylic resin denture base. Gen Dent 2020; 68 (02) 66-69
  • 4 Kailembo A, Preet R, Stewart Williams J. Common risk factors and edentulism in adults, aged 50 years and over, in China, Ghana, India and South Africa: results from the WHO Study on global AGEing and adult health (SAGE). BMC Oral Health 2016; 17 (01) 29
  • 5 Bilhan H, Erdogan O, Ergin S, Celik M, Ates G, Geckili O. Complication rates and patient satisfaction with removable dentures. J Adv Prosthodont 2012; 4 (02) 109-115
  • 6 De Carvalho BMDF, Parente RC, Franco JMPL, Silva PGB. GOHAI and OHIP-EDENT Evaluation in Removable Dental Prostheses Users: Factorial Analysis and Influence of Clinical and Prosthetic Variables. J Prosthodont 2020
  • 7 Bairam LR, Miller WA. Mandible bone resorption as determined from panoramic radiographs in edentulous male individuals ages 25-80 years. Gerodontology 1994; 11 (02) 80-85
  • 8 Goiato MC, Dos Santos DM, Baptista GT. et al. Effect of thermal cycling and disinfection on colour stability of denture base acrylic resin. Gerodontology 2013; 30 (04) 276-282
  • 9 Vermeulen AH, Keltjens HM, van't Hof MA, Kayser AF. Ten-year evaluation of removable partial dentures: survival rates based on retreatment, not wearing and replacement. J Prosthet Dent 1996; 76 (03) 267-272
  • 10 Turner M, Jahangiri L, Ship JA. Hyposalivation, xerostomia and the complete denture: a systematic review. J Am Dent Assoc 2008; 139 (02) 146-150
  • 11 Pai S, Ghezzi EM, Ship JA. Development of a Visual Analogue Scale questionnaire for subjective assessment of salivary dysfunction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91 (03) 311-316
  • 12 Mayhew D, Mendonca V, Murthy BVS. A review of ASA physical status - historical perspectives and modern developments. Anaesthesia 2019; 74 (03) 373-379
  • 13 Curtis DA, Curtis TA, Wagnild GW, Finzen FC. Incidence of various classes of removable partial dentures. J Prosthet Dent 1992; 67 (05) 664-667
  • 14 Berteretche MV, Frot A, Woda A, Pereira B, Hennequin M. Different types of antagonists modify the outcome of complete denture renewal. Int J Prosthodont 2015; 28 (03) 270-278
  • 15 de Lucena LB, Kosminsky M, da Costa LJ, de Góes PS. Validation of the Portuguese version of the RDC/TMD Axis II questionnaire. Braz Oral Res 2006; 20 (04) 312-317
  • 16 Nguyen CT, Lin S, Clark H, Hovan A, Wu J. Salivary flow rate after conventional and intensity-modulated radiation therapy. J Am Dent Assoc 2018; 149 (06) 432-441
  • 17 Jensen SB, Mouridsen HT, Reibel J, Brünner N, Nauntofte B. Adjuvant chemotherapy in breast cancer patients induces temporary salivary gland hypofunction. Oral Oncol 2008; 44 (02) 162-173
  • 18 Petrušić N, Posavac M, Sabol I, Mravak-Stipetić M. The Effect of Tobacco Smoking on Salivation. Acta Stomatol Croat 2015; 49 (04) 309-315
  • 19 Zarb GA, Eckert S, Hobrink J. 13th ed. Prosthodontic treatment for edentulous patients: Complete dentures and implant-supported prostheses. Saint Louis: Mosby; 2012
  • 20 Carr AB, Brown DT. 13th ed. McCracken's Removable Partial Prosthodontics. Saint Louis: Mosby; 2015
  • 21 Goiato MC, Filho HG, Dos Santos DM, Barão VA, Júnior AC. Insertion and follow-up of complete dentures: a literature review. Gerodontology 2011; 28 (03) 197-204
  • 22 Atchison KA, Dolan TA. Development of the Geriatric Oral Health Assessment Index. J Dent Educ 1990; 54 (11) 680-687
  • 23 de Souza RF, Terada AS, Vecchia MP, Regis RR, Zanini AP, Compagnoni MA. Validation of the Brazilian versions of two inventories for measuring oral health-related quality of life of edentulous subjects. Gerodontology 2012; 29 (02) e88-e95
  • 24 Mendes MSS, Chester LN, Fernandes Dos Santos JF, Chen X, Caplan DJ, Marchini L. Self-perceived oral health among institutionalized older adults in Taubate, Brazil. Spec Care Dentist 2020; 40 (01) 49-54
  • 25 Spielberger CD, Gorsuch RL, Lushene RE. Manual for the state-trait anxiety inventory (“self-evaluatin questionaire”). California: Consulting-Psychologists; 1970
  • 26 Gorenstein C, Andrade L. Validation of a Portuguese version of the Beck Depression Inventory and the State-Trait Anxiety Inventory in Brazilian subjects. Braz J Med Biol Res 1996; 29 (04) 453-457
  • 27 Inoue M, John MT, Tsukasaki H, Furuyama C, Baba K. Denture quality has a minimal effect on health-related quality of life in patients with removable dentures. J Oral Rehabil 2011; 38 (11) 818-826
  • 28 Gonçalves TM, Vilanova LS, Gonçalves LM, Rodrigues Garcia RC. Effect of complete and partial removable dentures on chewing movements. J Oral Rehabil 2014; 41 (03) 177-183
  • 29 Affoo RH, Trottier K, Garrick R, Mascarenhas T, Jang Y, Martin RE. The Effects of Tooth Brushing on Whole Salivary Flow Rate in Older Adults. BioMed Res Int 2018; 2018: 3904139
  • 30 Inenaga K, Inangaki T, Hosokawa R, Ono K. Parotid salivary secretion induced by stimulation of periodontal regions with toothbrush in humans. J Med Invest 2009; 56 (Suppl): 277
  • 31 Matsuda K, Ikebe K, Ogawa T, Kagawa R, Maeda Y. Increase of salivary flow rate along with improved occlusal force after the replacement of complete dentures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108 (02) 211-215