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Oral health-related quality of life after dental treatment in patients with intellectual disability

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Oral health-related quality of life after dental treatment in patients with intellectual disability

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dc.contributor.author Rollon-Ugalde, Virginia es
dc.contributor.author Coello-Suanzes, José Antonio es
dc.contributor.author López-Jiménez, Ana M. es
dc.contributor.author Herce López, Javier es
dc.contributor.author Toledano-Valero, Pilar es
dc.contributor.author Montero Martín, Javier es
dc.contributor.author Infante-Cossío, Pedro es
dc.contributor.author Rollón Mayordomo, Angel es
dc.date.accessioned 2021-01-15T12:29:43Z
dc.date.available 2021-01-15T12:29:43Z
dc.date.issued 2020 es
dc.identifier.citation Rollon-Ugalde, Virginia ; Coello-Suanzes, José Antonio ; López-Jiménez, Ana M. ; Herce López, Javier ; Toledano-Valero, Pilar ; Montero Martín, Javier ; Infante-Cossío, Pedro ; Rollón Mayordomo, Angel. Oral health-related quality of life after dental treatment in patients with intellectual disability. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 25 5 2020: 13- es
dc.identifier.uri https://hdl.handle.net/10550/77183
dc.description.abstract The influence of dental treatment on oral health-related quality of life (OHRQOL) has rarely been evaluated in patients with intellectual disability (ID) through validated questionnaires. The aim of this study was to estimate the changes on OHRQOL in patients with ID after the implementation of an institutional dental treatment program under general anesthesia using the Franciscan Hospital for Children Oral Health-Related Quality of Life questionnaire (FHCOHRQOL-Q). A prospective longitudinal study was conducted on 85 patients (mean age=24.85 years) classified according to DSM-V whose parents/caregivers completed the FHC-OHRQOL-Q. We analyzed the changes in the questionnaire?s overall score and its dimensions from pre-treatment to 12-months of follow-up, considering effect sizes and minimal important differences estimated by the standard measurement error. The impact of clinical and therapeutic factors was evaluated using univariate and multiple linear regression analysis (p<0.05). Significant improvement of OHRQOL was found after dental treatment in oral symptoms (p0.001), daily life problems (p=0.018), parent?s perceptions (p=0.013) and FHCOHRQOL-Q´s overall score (p=0.001). OHRQOL changes exhibited an intermediate magnitude (0.38-0.21) as estimated by effect sizes. Changes in oral symptoms showed positive correlation with DMFT index (r=0.375, p=0.002), decayed teeth (r=0.244, p=0.036), dental extractions (r=0.424, p<0.001) and number of treatments (r=0.255, p=0.019). The improvement was greater in patients with 4 decayed teeth (p=0.049) and undergoing 2 dental extractions (p=0.002). Multiple regression analysis demonstrated that dental extractions (p<0.001) and DMFT index (p=0.028) were significantly related to oral symptom improvement. Dental treatment under general anesthesia showed a positive effect on the overall FHC-OHRQOL-Q score and most of its dimensions. At 12-months of follow-up, the improvement of oral symptoms was significantly associated with DMFT index, decayed teeth, dental extractions and number of treatments. In our clinical setting, the implementation of a dental treatment program enhanced the OHRQOL of patients with ID. es
dc.title Oral health-related quality of life after dental treatment in patients with intellectual disability es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.23549 es
dc.type.hasVersion VoR es_ES

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