Is reduced dentition with and without dental prosthesis associate with oral health-related quality of life? a cross-sectional study

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dc.creatorRaquel Conceição Ferreira
dc.creatorIchiro Kawachi
dc.creatorJoao Gabriel Silva Souza
dc.creatorFernanda Lamounier Campos
dc.creatorLoliza Luiz Figueiredo Houri Chalub
dc.creatorJosé Leopoldo Ferreira Antunes
dc.date.accessioned2025-07-31T17:15:00Z
dc.date.accessioned2025-09-09T01:11:12Z
dc.date.available2025-07-31T17:15:00Z
dc.date.issued2019
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1186/s12955-019-1149-2
dc.identifier.issn1477-7525
dc.identifier.urihttps://hdl.handle.net/1843/83944
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofHealth and Quality of Life Outcomes
dc.rightsAcesso Aberto
dc.subjectEpidemiology
dc.subjectDental health surveys
dc.subjectDental prosthesis
dc.subjectOral health
dc.subjectQuality of life
dc.subjectTooth loss
dc.subjectPrevalence
dc.subject.otherDental health surveys
dc.subject.otherDental prosthesis
dc.subject.otherEpidemiology
dc.subject.otherOral health
dc.subject.otherQuality of life
dc.subject.otherTooth loss
dc.titleIs reduced dentition with and without dental prosthesis associate with oral health-related quality of life? a cross-sectional study
dc.typeArtigo de periódico
local.citation.epage12
local.citation.issue79
local.citation.spage1
local.citation.volume17
local.description.resumoBackground: Oral health-related quality of life (OHRQoL) has important implications for the clinical practice of dentistry and dental research and should contribute to professional judgment about restorative treatments and prosthetic replacement in patients who had reduced dentitions. The aim was to compare the OHRQoL among adults (35-44 years) categorized according to different definitions of reduced dentition and considering the use (or non-use) of dental prosthesis. Methods: This study used data from a probabilistic sample of adults in Sao Paulo, Brazil, 2015. OHRQoL was based on none items of Oral Impacts on Daily Performance (OIDP) index, as prevalence (at least one impact) and extent (the number of items with non-zero score). We used different criteria to assess dentition status: (1) Shortened Dental Arch (SDA): having 3-5 natural occlusal units (OUs) in posterior teeth and intact anterior region; (2) hierarchical functional classification system: a five-level stepwise classification of dentition; and (3) presence of ≥21 teeth. The use or nonuse of dental prosthesis was recorded. Negative binomial regression models involved the adjustment for social determinants of health. Results: Nearly half (53.1%) of the 5753 participating adults had at least one oral health issue impacting OHRQoL. OIDP prevalence in adults with SDA did not differ from those with more OUs (PR = 1.02; 95%CI 0.91-1.13). Individuals with non-functional dentition had worse OHRQoL regardless of their use of a dental prosthesis. Adults with fewer than 21 remaining teeth, ranked significantly higher in OIDP extent, regardless of dental prosthesis use (PR = 1.38; 95%CI 1.16-1.63 with prosthesis; PR = 1.62; 95%CI 1.19-2.20 without dental prosthesis). Conclusions: Individuals with more missing teeth reported worse OHRQoL regardless of using a dental prosthesis. Preserving a functional dentition, even with missing teeth, is compatible with OHRQoL.
local.identifier.orcidhttps://orcid.org/0000-0001-8897-9345
local.identifier.orcidhttps://orcid.org/0000-0001-5944-6953
local.identifier.orcidhttps://orcid.org/0000-0002-4772-8088
local.identifier.orcidhttps://orcid.org/0000-0002-0892-9047
local.identifier.orcidhttps://orcid.org/0000-0003-3972-9723
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
local.publisher.initialsUFMG
local.url.externahttps://hqlo.biomedcentral.com/articles/10.1186/s12955-019-1149-2

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