Oral health related quality of life depending on oral health and specific factors in patients after lung transplantation

Abstract

The oral health perception of LuTx patients does not reflect the apparent oral health deficiencies. Consequently, sensitization and motivation for an increased dental behavior is needed.

Oral health-related quality of life of patients after heart transplantation and those with heart failure is associated with general health-related quality of life: a cross-sectional study

“…A further similarity to the available literature is the missing association between oral health and OHRQoL for the patients within the current study, which has been repeatedly described and was hypothesized accordingly [8][9][10][11][12][13][14][15]. The nearly unaffected OHRQoL of the HTx and HF patients despite the high prevalence of periodontal treatment need in the current study is conspicuous, especially considering the effects of periodontitis on OHRQoL in generally healthy individuals [27].…”

“…Only one study had previously examined the OHRQoL of HTx patients, and it also showed a slight effect on the OHRQoL; however, the OHIP 49 questionnaire was used in the previous examination, making comparison of the values difficult [7]. Other previous studies performed on patients with solid organ transplantation showed slightly lower OHIP G14 scores compared to the current study; these studies focused on patients after kidney (2.54), lung (1.7) and liver (4.1) transplantation [8][9][10]. Without further results for patients with HF or organ transplantation, several other German patient groups with chronic systemic diseases might be considered to interpret the current study's findings.…”

“…Nevertheless, the missing effect of oral health on OHRQoL measured by the OHIP G14 questionnaire could also reflect the limited validity of the applied questions to a cohort of patients with severe chronic general diseases. This is supported by the fact that previously examined cohorts of patients with chronic general diseases show nearly unaffected OHRQoL as measured by OHIP G14 [8][9][10][11][12][13], indicating that other questionnaires might fit better. Different example, such as the Geriatric/General Oral Health Assessment Index (GOHAI) for the elderly [32], the Mouth Handicap in Systemic Sclerosis (MHISS) for patients with systemic sclerosis [33] or the Xerostomia Quality of Life Scale (XeQoLS) for patients with Sjörgen Syndrome [34] are available.…”

“…Several studies have investigated OHRQoL and its potential associations with oral diseases in patients with different chronic diseases and conditions, including haemodialysis, rheumatic diseases or solid organ transplantation [8][9][10][11][12][13][14][15]. These previous studies repeatedly show a nearly unaffected or slightly reduced OHRQoL, often irrespective of insufficient oral health situations in these patients [8][9][10][11][12][13]. It was thereby assumed that general disease-related parameters would affect the OHRQoL in these chronical diseased patients more strongly than oral diseases or treatment needs [11,12].…”

Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up

“…Moreover, although HTx group scored better than LVAD and HF, only the minority of participants rated that their oral hygiene behavior had changed since heart disease. This points out to an assumption concluded from studies regarding oral health-related quality of life of organ transplant recipients: an inappropriate estimation of the importance of oral health caused by the general disease burden [32][33][34]. In heart transplanted individuals, the perceived influence of oral health on quality of life was concluded to be reduced [35].…”