SELF-PERCEIVED ESTHETICS , CHEWING FUNCTION AND ORAL HEALTH-RELATED QUALITY OF LIFE IN PATIENTS TREATED WITH NEW REMOVABLE DENTURES
Orofacial aesthetics scale ( OES )
How do you assess appearence of ......... during the last 7 days
Oral Health Impact Profile ( OHIP-14 )
Have you had ( problems or feelings that ) . . . .. because of problems with teeth , mouth , dentures ? during the last 7 days
Chewing Function Questionnaire ( CFQ )
Have you had any difficulty chewing foods such as . . . .. ( or similar )? during the last 7 days
1 . The lower third of your face 1 . Pronouncing words 1 . Apple , pear , raw carrots
2 . Your profile appearance of the lower third of your face |
2 . Sense of taste worsened |
2 . Bacon , firm meat |
3 . Your mouth ( smile , lips , visible teeth ) |
3 . Painful aching ( mouth , teeth ) |
3 . Biscuits , crackers |
4 . Your dental arches |
4 . Uncomfortable to eat any foods |
4 . Fresh bread , doughnut |
5 . Assess shape of your teeth |
5 . Been self-conscious |
5 . Nuts , pecan , almonds , peanuts , macadamia |
6 . Assess the color of your teeth |
6 . Felt tense |
6 . Lettuce , raw cabbage |
7 . Your gums or artificial gums |
7 . Diet been unsatisfactory |
7 . Biting different foods , incision |
8 . Asssess the overall appearance of your lower third of the face , mouth and teeth |
8 . Interrupt meals |
8 . Chewing gum |
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9 . Difficult to relax |
9 . Have you felt insecure when chewing |
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10 . Feel a bit embarrassed |
10 . Have you noticed food catching on your teeth or tooth replacement |
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11 . Irritable with people 12 . Difficulty doing usual jobs 13 . Life in general less satisfying 14 . Totally unable to function |
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Scores 1-5 ; Summary score 8-40 Scores 0 – 4 ; Summary score 0 – 56 Scores 0 – 4 ; Summary score 0 – 40
Figure 1 . A brief overview of questionnaires used in the study with their summary score ranges and questions ( items )
the Orofacial Esthetic Scale ( OES ) 16-18 for patient ’ s self-evaluation of orofacial aesthetics and the Chewing Function Questionnaire ( CFQ ) 19 for patient ’ s self-evaluation of a chewing function ( CF ). The objective of this study was to asses treatment effects and after-treatment scores considering self-perceived OHRQoL , chewing function ( CF ) and orofacial aesthetics ( OES ) in patients treated with new complete dentures ( CD group ), and in patients treated with maxillary complete dentures and mandibular Kennedy Class I long saddle removable partial dentures ( CD-RPD group ). The aim was also to compare the two groups and to assess possible gender and age effects .
2 . Methodology
The study was approved by the Institutional Ethics Committee . One hundred twenty-six ( 126 ) patients ( 72 female and 54 male ) participated . The patients were divided into two groups : the CD group ( rehabilitated with new complete dentures in both jaws ) and the CD-RPD group ( treated with new complete dentures in the maxilla and long saddle clasp-retained removable partial dentures in the mandible ( Kennedy Class I , edentulous posterior areas bilaterally ). There were 68 patients in the CD group ( 40 females , 28 males ), mean age 69.58 years (± 11.17 ) and 58 patients in the CD-RPD group ( 32 females , 26 males ) mean age 66 years (± 8.0 ). In the CD-RPD group there were no teeth present distally from cuspids and / or second incisors in the mandible . All dentures were made by postgraduate students during training courses for the Prosthodontics Specialist degree . Mandibular partial dentures were made of metal and acrylic resin in order not to break , while all complete dentures were made only of acrylic resin ( Polymethyl methacrylate ; PMMA ). All CD patients had old pairs of complete dentures . In the CD-RPD group all patients had their old complete denture in the maxilla and 74.1 % of them had already old partial removable denture ( RPD ) in the mandible , while 25.9 % patients were the first time removable partial denture wearers in the lower jaw . The Croatian version of the OES-CRO was used to assess patients ’ self-perceived orofacial esthetics . The patients rated their orofacial aesthetics on a Likert scale ranging from 1 to 5 ( 1 = completely dissatisfied ; 5 = completely satisfied ; the summary score ranged from 8 to 40 , the higher summary scores indicated greater satisfaction with orofacial
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