Effect of proper oral rehabilitation on general health of mandibulectomy patients

Mustafa, Ammar A.; K, Raad; Mustafa, Nazih Shaaban

doi:10.1002/ccr3.373

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…According to Locker studies [ 7 ] oral health can affects people physically and psychologically and can influence many aspects as how they enjoy life, speak, chew, taste food, socialize and the social well-being. Thus, some recent studies in the scientific literature evaluated the impact of general [ 13 ] and specific aspects of oral health, as the use of prostheses [ 14 ], surgical treatments [ 15 ], parafunctional habits [ 16 ], dental pain [ 17 ], among others, on quality of life in different samples, being common the association of oral conditions evaluated on the factors of health-related quality of life of patients.…”

Section: Introductionmentioning

confidence: 99%

Impact of oral health on health-related quality of life: a cross-sectional study

2016

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BackgroundDespite the consensus regarding the existence of a relationship between “impacts on oral health” and “health-related quality of life”, this relationship, considering the latent nature of these variables, is still poorly investigated. Thus, we performed this study in order to determine the magnitude of the impacts of oral health, demographic and symptom/clinical variables on the health-related quality of life in a Brazilian sample of dental patients.MethodsA total of 1,007 adult subjects enrolled in the School of Dentistry of São Paulo State University (UNESP) - Araraquara Campus for dentistry care between September/2012 and April/2013, participated. 72.4 % were female. The mean age was 45.7 (SD = 12.5) years. The Oral Health Impact Profile (OHIP-14) and the Short Form Health Survey (SF-36) were used. The demographic and symptom/clinical variables collected were gender, age, economic status, presence of pain and chronic disease. The impact of studied variables on health-related quality of life were evaluated with a structural equation model, considering the factor “Health” as the central construct. The fit of the model was first analyzed by the evaluation of the goodness of fit indices (χ2/df ≤ 2.0, CFI and TLI ≥ 0.90 and RMSEA < 0.10) and the evaluation of the variables’ impact over health-related quality of life was based on the statistical significance of causal paths (β), evaluated by z tests, for a significance level of 5 %.ResultsWe observed adequate fit of the model to the data (χ2/df = 3.55; CFI = 0.95; TLI = 0.94; RMSEA = 0.05). The impacts on oral health explained 28.0 % of the variability of the health-related quality of life construct, while the total variance explained of the model was 39.0 %. For the demographic and symptom/clinical variables, only age, presence of pain and chronic disease showed significant impacts (p < 0.05).ConclusionThe oral health, age, presence of pain and chronic disease of individuals had significant influence on health-related quality of life.

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Section: Introductionmentioning

confidence: 99%

Impact of oral health on health-related quality of life: a cross-sectional study

2016

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“…Besides the obvious facial esthetic and social inclusion aspects of leaving the mandible unrestored, humans also suffer from altered phonation and facial mimicry that are not readily appreciated in dogs ( 25 ). Without appropriate oral rehabilitation, dogs and humans ( 26 ) may suffer malnutrition and weight loss following mandibulectomy. While more conservative options, such as elastic retraining chain ( 1 ) and occlusal adjustment, can be used to manage postoperative malocclusion in dogs, neither option restores the continuity of bone, support of the floor of the mouth, bite forces, or kinematics, and does not reduce stress on the muscles of mastication or prevent degenerative changes in the TMJ.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Study on Mandibular Reconstruction Following Excision of Canine Acanthomatous Ameloblastoma

et al. 2022

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The successful excision of a locally invasive tumor such as canine acanthomatous ameloblastoma (CAA) typically results in a mandibular contour-derforming, critical-size defect that alters the jaw kinematics, and may affect the patient's quality of life. In this case series, we describe our experience using the regenerative approach of a titanium locking plate and compression resistant matrix infused with rhBMP-2 for the immediate or delayed reconstruction following mandibulectomy for the excision of mandibular CAA in 11 dogs. Surgical planning included computed tomography (CT), with and without contrast, in all cases, and 3D-printed models in four cases. Tumor-free surgical margins were achieved in all dogs. Clinical and diagnostic imaging follow-up (mean, 23.1 months) were performed in-person (11 cases) and with CT/cone-beam computed tomography in most cases, with standard radiography (3 cases) and telemedicine being utilized in 5 cases. At 2 weeks postoperatively, hard tissue was palpable at the defect. Follow-up imaging at 1 month postoperatively revealed evidence of bridging new bone with a heterogeneous appearance, that remodeled over 3–6 months to bone of a similar size, shape and trabecular pattern as native bone. Histological evaluation of regenerated bone was available in two cases, and was supportive of our clinical and imaging findings of normal remodeled bone. Clinically, all dogs returned to a normal lifestyle, rapidly resumed eating and drinking, and exhibited normal occlusion. Complications included wound dehiscence in one dog and self-limiting exuberant bone formation in two dogs. Tumor regrowth, failure of the implant or fracture of the regenerated bone were not observed. We conclude that the mandibular reconstruction using a regenerative approach is safe, feasible, and results in restoration of mandibular contour in dogs following segmental and bilateral rostral mandibulectomy for benign but invasive oral tumors such as CAA.

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Oral Health-related Quality of Life: Current Status and Future Implications

Agrawal¹,

Aggarwal²,

Garg³

et al. 2021

Journal of Oral Health and Community Dentistry

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Effect of proper oral rehabilitation on general health of mandibulectomy patients

Abstract: Key Clinical MessageHere, we aimed to assess whether postoperative oral rehabilitation for mandibulectomy patients is necessary to improve patients’ general health in terms of health-related quality of life.

Cited by 3 publications

References 18 publications

Impact of oral health on health-related quality of life: a cross-sectional study

Impact of oral health on health-related quality of life: a cross-sectional study

A Retrospective Study on Mandibular Reconstruction Following Excision of Canine Acanthomatous Ameloblastoma

Oral Health-related Quality of Life: Current Status and Future Implications

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