GOHAI and OHIP‐EDENT Evaluation in Removable Dental Prostheses Users: Factorial Analysis and Influence of Clinical and Prosthetic Variables

Abstract

Purpose: To assess the degree of satisfaction and quality of life of patients with removable prostheses using the Geriatric Oral Health Assessment Index (GOHAI) and Oral Health Impact Profile in Edentulous Adults (OHIP-EDENT), in addition to evaluating the questionnaires for their validation. Materials and Methods: Eighty patients participated in the study after completing prosthetic rehabilitation treatment. Patients were evaluated using the OHIP-EDENT and GOHAI questionnaires to assess the criteria for quality of life, esthetics, phonetics, masticatory function, stability, comfort, and alteration of taste and pain related to the completed prostheses. The results were subjected to the chi-squared test, Fisher's exact test, and a multinomial logistic regression model, with a significance level of 5%. Results: The most commonly used removable prosthesis was mandibular removable partial denture (RPD) (n = 43, 53.8%), followed by maxillary RPD (n = 42, 52.5%), maxillary complete denture (CD) (n = 33, 41.3%), and mandibular CD (n = 31, 38.8%). Most patients had to have one (n = 29, 36.3%), two (n = 21, 26.3%), or none (n = 18, 23.8%) adjustments in their prostheses. Five (6.3%) patients' prostheses required three adjustments, and six (7.5%) required four or more adjustments. All reported improvement in esthetics after using the prostheses (p < 0.05). The validation of the questionnaire proved to be more viable when completed without the presence of specific domains. Conclusion:The results of this study indicated that removable prostheses improved the quality of life of rehabilitated patients. The questionnaires used need to be answered and evaluated in their entirety for validation.

Oral Health-Related Quality of Life in Patients after Stroke—A Systematic Review

“…In contrast to OHIP, higher values indicate better OHRQoL. The GOHAI is widely used for elderly individuals or patients with dentures [ 35 , 36 ]. As the mean age of most studies was quite high in the included studies, the application of GOHAI appear reasonable.…”

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

“…This result corroborates studies in the literature that also assessed wearers of CDs and RPDs, and found that most of these wearers of removable dentures were females. 5,6,27 According to De Carvalho et al, the GOHAI shows a high level of internal consistency and reliability. 6 For CD wearers, there was a significant reduction in the scores for questions 1, 2, 4, 5, 6, 9, 10, 11, and 12, and a significant increase in the scores for questions 3 and 7 after 3 months of their rehabilitation (►Table 1).…”

“…5,6,27 According to De Carvalho et al, the GOHAI shows a high level of internal consistency and reliability. 6 For CD wearers, there was a significant reduction in the scores for questions 1, 2, 4, 5, 6, 9, 10, 11, and 12, and a significant increase in the scores for questions 3 and 7 after 3 months of their rehabilitation (►Table 1). This showed a significant increase in oral health-related quality of life for CD wearers after this period as follows: (1) greater ease during their chewing; (2) more comfort during their swallowing; (3) greater comfort when they ate food; (4) greater satisfaction with the appearance of their dentures; (5) greater security when they spoke and ate in front of people; (6) greater social contact between them and people; (7) less limitation on the type or amount of food they could eat; (8) less worry and nervousness about their gums and dentures; and (9) less sensitivity of their gums to heat, cold, and sweets.…”

“…The loss of teeth can impair the aesthetics, function (e.g., chewing and digestion), and phonation, 5 6 favoring the development of psychological disorders in the individual. 6 In addition, nutritional deficit, hypertension, cognitive impairment, worsening self-esteem, and increased risk of mortality were correlated with tooth loss. 6 Therefore, it can have a negative impact on the individual's quality of life.…”

“… 6 In addition, nutritional deficit, hypertension, cognitive impairment, worsening self-esteem, and increased risk of mortality were correlated with tooth loss. 6 Therefore, it can have a negative impact on the individual's quality of life.…”