Self-perceived Oral Health, Satisfaction with Overall Health and Quality of Life Comparisons between Patients with Oral Lichen Planus and their Matched Controls

Abstract

Background: Oral lichen planus (OLP) is one of the most prevalent oral mucosal diseases. Aims: The aim of this study is to compare the quality of life, self-perceived oral health, satisfaction with health, and their potential predictors in OLP patients and their matched controls. Materials and methods: The study included 132 cases and 133 controls matched to cases by age, gender, and urbanization. The information about disease-related outcomes and predictors was acquired from a structured questionnaire and supplemented with interviews. Results: OLP patients had worse self-perceived oral health and lower quality of life and were less satisfied with their health as compared to their matched controls. The worse self-reported oral health was predicted by having OLP (OR = 3.9), oral disease's negative impact on daily life (OR = 3.0), and disease's impediment to eating (OR = 3.8). Lower satisfaction with overall health was predicted by having multiple systemic conditions (OR = 1.4) and reporting an oral disease's negative impact on daily life (OR = 2.6). The only significant predictor for dissatisfaction with the quality of life was reporting the oral disease's negative impact on daily life (OR = 2.4). Conclusion: Oral disease's negative impact on daily life was a significant predictor for all three-study outcomes: worse self-reported oral health, lower satisfaction with overall health, and lower quality of life.

Does the Clinical Form of Oral Lichen Planus (OLP) Influence the Oral Health–Related Quality of Life (OHRQoL)?

“…Complaints about food intake make healthy eating more difficult and also affect the patients’ social lives resulting in a reduced quality of life and psychological impairment. A study of the self-assessment of oral health, satisfaction with overall health and quality of life of patients with OLP compared to a healthy control group found that those affected suffered particularly from the negative effects of daily life and restrictions of eating [ 28 ].…”

Association between Clinical Signs of Oral Lichen Planus and Oral Health-Related Quality of Life: A Preliminary Study

“…Therefore, further longitudinal study to assess overtime change of OIDP intensity, taking into account previous or ongoing treatment, would be required for better understanding on the impacts of OLP treatment on patients’ quality of life. Second, some of the previous studies performed multivariate analysis where confounding factors were taken into account [ 28 , 35 ]. However, this study applied only univariate analyses due to a relatively small sample size.…”

“…In order to use these instruments, there is a need for cross-cultural adaption and validation of the methodology [ 26 ]. A number of previous studies have examined OHRQoL in OLP patients [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. Most studies were conducted with the cross-sectional design.…”